Provider Demographics
NPI:1962837153
Name:STEVEN L HATCHER DDS PA
Entity Type:Organization
Organization Name:STEVEN L HATCHER DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:HATCHER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:336-282-4022
Mailing Address - Street 1:2707 PINEDALE RD STE C
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-2020
Mailing Address - Country:US
Mailing Address - Phone:336-282-4022
Mailing Address - Fax:336-282-2437
Practice Address - Street 1:2707 PINEDALE RD STE C
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-2020
Practice Address - Country:US
Practice Address - Phone:336-284-4022
Practice Address - Fax:336-282-2437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-06
Last Update Date:2016-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7439122300000X
NC74441223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
No1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty