Provider Demographics
NPI:1619128980
Name:THATCHER, DAWN STAR (DMD)
Entity Type:Individual
Prefix:DR
First Name:DAWN
Middle Name:STAR
Last Name:THATCHER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1819 STATE ST STE E
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-0409
Mailing Address - Country:US
Mailing Address - Phone:805-682-2700
Mailing Address - Fax:
Practice Address - Street 1:1819 STATE ST STE E
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-0409
Practice Address - Country:US
Practice Address - Phone:805-682-2700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-06
Last Update Date:2008-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA577421223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics