Jeremy D Hatch, DMD
Individual provider Active NPI General Practice Dentistry · Hurricane, UT
NPI 1861529612 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1861529612
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 5657631-9922 (UT)
- Practice address
- 52 South 850 West
Suite 201
Hurricane, UT 84737 - Phone
- (435) 635-9471
- Fax
- (435) 635-9473
- NPI assigned
- Feb 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5657631-9922 | UT | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5657631-9922 | UT | Yes |
Addresses
Primary practice location
52 South 850 West
Suite 201
Hurricane, UT 84737
Mailing address
52 South 850 West
Suite 201
Hurricane, UT 84737
Phone (435) 635-9471
Other providers in Hurricane, UT
- Tory Ann Gubler
- Troy Cal Gubler
- Gubler'S Physical Therapy
- Cheryl Rae Hall
- Ephraim K. Hanks
- Kenneth W. Heaton
- Brenda W Heck
- Cynthia Macdonald Hedden
- Abbie Hermansen
- Herritage Homes LLC
All providers in Hurricane, UT · General Practice Dentistry in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.