Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033455019 Individual Practitioner Male Practitioner

Dr. Evan Hathaway , DDS

Dentist • Eagle, ID

Professional Overview & Biography Verified Profile Summary

Dr. Evan Hathaway, DDS is a registered healthcare professional specializing in Dentist in Eagle, ID. Practice services are available at 1217 E IRON EAGLE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1217 E Iron Eagle Dr

Eagle, ID 836166599

Telephone 2083771161
Fax 2089380567
Associated Practice Facility / Clinic
🏢 Evan Hathaway Dds Pa Facility NPI 1851552194

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Eagle, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
4 Specialists

Practicing in Eagle, ID (448 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License ID D2040

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1902790470

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 20, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location December 20, 2012

Registered at 1217 E IRON EAGLE DR, EAGLE, ID 836166599 (Tel: 2083771161)

📍
Updated Business Mailing Address December 20, 2012

Registered at 1217 E IRON EAGLE DR, EAGLE, ID 836166599 (Tel: 2083771161)

👤
Provider Name / Credentials Updated December 20, 2012

Recorded as EVAN HATHAWAY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2012

Dentist (License #D2040 in ID)

🟢
Initial NPI Registration & Enumeration December 20, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Evan Hathaway. Be the first to share your experience!

Sign in to leave a review for Dr. Evan Hathaway

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1033455019
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 20, 2012
Last Update: December 20, 2012
Sole Proprietor: Yes

Mailing Address

1217 E Iron Eagle Dr

Eagle, ID 836166599

Phone: 2083771161

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.