Provider Demographics
NPI:1700075538
Name:JOHN A. HATCH DDS PC
Entity Type:Organization
Organization Name:JOHN A. HATCH DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:HATCH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:480-545-5330
Mailing Address - Street 1:2373 E BASELINE RD
Mailing Address - Street 2:#101
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-2477
Mailing Address - Country:US
Mailing Address - Phone:480-545-5330
Mailing Address - Fax:480-545-5331
Practice Address - Street 1:2373 E BASELINE RD
Practice Address - Street 2:#101
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-2477
Practice Address - Country:US
Practice Address - Phone:480-545-5330
Practice Address - Fax:480-545-5331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-17
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ23891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty