Provider Demographics
NPI:1003103789
Name:HATCH, DANIEL (DDS)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:
Last Name:HATCH
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2720 COMMERCIAL WAY
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81401-5693
Mailing Address - Country:US
Mailing Address - Phone:970-249-4301
Mailing Address - Fax:970-240-8340
Practice Address - Street 1:2720 COMMERCIAL WAY
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401-5693
Practice Address - Country:US
Practice Address - Phone:970-249-4301
Practice Address - Fax:970-240-8340
Is Sole Proprietor?:No
Enumeration Date:2011-07-01
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN-10665122300000X
UT8013484-99221223G0001X
CODEN106651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist