NPI 1023241338

Thomas Wayne Hathorn, DDS

Practitioner General Practice Dentistry Pineville, LA

Practice location

Address: 402 Pinegrove Dr, Pineville, LA 71360-5726
Phone: (318) 448-3804
Fax: (318) 448-4880

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 3154 (LA)

Other Dentist providers in Louisiana →

Registry record

NPI: 1023241338
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Sep 2009
Record last updated: 2 Sep 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.