institution
Thane C. Hisaw, Dmd, Pa
Pediatric Dentist in Greensboro, North Carolina
NPI 1376983213

Thane C. Hisaw, Dmd, Pa is a Pediatric Dentist based in Greensboro, NC and is specialized in Pediatric Dentistry. Thane C. Hisaw, Dmd, Pa practices in Greensboro, NC. The NPI Number for Thane C. Hisaw, Dmd, Pa is 1376983213 and holds a License No. 9508 (North Carolina).

The current practice location address for Thane C. Hisaw, Dmd, Pa is 504 E Cornwallis Dr, Greensboro, NC and can be reached out via phone at 336-378-1421.

Location: 504 E Cornwallis Dr, Greensboro, NC, 27405-5679
institution
Provider Profile Details
NPI Number
1376983213
Provider Name
Thane C. Hisaw, Dmd, Pa
Credential
Provider Entity Type
Organization
Address
504 E Cornwallis Dr, Greensboro, NC, 27405-5679
Phone Number
336-378-1421
Fax Number
Provider Enumeration Date
06/25/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
504 E Cornwallis Dr
City
State
Zip
27405-5679
Phone Number
336-378-1421
Fax Number
person
Provider Business Mailing Address Details
Address
504 E Cornwallis Dr
City
State
Zip
27405-5679
Phone Number
336-378-1421
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
9508 (North Carolina)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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