RANDY HATHORN, DMD
Dentist - General Practice
Active
Individual
NPI: 1912018748
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 2016 83 (MS) |
Frequently Asked Questions
NPI 1912018748 is the National Provider Identifier for RANDY HATHORN, DMD, a Dentist - General Practice provider located in Bassfield, MS. This NPI was enumerated on August 31, 2006.
RANDY HATHORN, DMD practices at 218 A GEN ROBERT E BLOUNT DR, Bassfield, MS 39421.
Quick Facts
- NPI
- 1912018748
- Type
- Individual
- Enumerated
- Aug 31, 2006
- Last Updated
- Jul 8, 2007
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