Provider Demographics
NPI:1326077405
Name:HATTON, ERNEST CARTER (DDS,MSD)
Entity Type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:CARTER
Last Name:HATTON
Suffix:
Gender:M
Credentials:DDS,MSD
Other - Prefix:DR
Other - First Name:CARTER
Other - Middle Name:
Other - Last Name:HATTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS,MSD
Mailing Address - Street 1:307 W MCDONWELL SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-7227
Mailing Address - Country:US
Mailing Address - Phone:817-281-3191
Mailing Address - Fax:817-281-3174
Practice Address - Street 1:1621 PRECINCT LINE RD
Practice Address - Street 2:
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76054-3338
Practice Address - Country:US
Practice Address - Phone:817-281-3191
Practice Address - Fax:817-281-3174
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99141223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry