Provider Demographics
NPI:1760986053
Name:HATCH, DENNIS MATTHEW JR (DC)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:MATTHEW
Last Name:HATCH
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 DELTA FAIR BLVD STE L
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94509-4075
Mailing Address - Country:US
Mailing Address - Phone:925-778-3288
Mailing Address - Fax:925-778-2410
Practice Address - Street 1:3700 DELTA FAIR BLVD STE L
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94509-4075
Practice Address - Country:US
Practice Address - Phone:925-778-3288
Practice Address - Fax:925-778-2410
Is Sole Proprietor?:No
Enumeration Date:2018-03-21
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34164111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor