person
Thane C. Hisaw, DMD
Pediatric Dentist in Greensboro, North Carolina
NPI 1427180801

Thane C. Hisaw is a Pediatric Dentist based in Greensboro, NC and is specialized in Pediatric Dentistry. Thane C. Hisaw practices in Greensboro, NC and has the professional credentials of DMD. The NPI Number for Thane C. Hisaw is 1427180801 and holds a License No. 9058 (North Carolina).

The current practice location address for Thane C. Hisaw is 504 E Cornwallis Dr, Greensboro, NC and can be reached out via phone at 336-378-1421 and via fax at 336-273-5065.

Location: 504 E Cornwallis Dr, Greensboro, NC, 27405-5679
person
Provider Profile Details
NPI Number
1427180801
Provider Name
Thane C. Hisaw
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
504 E Cornwallis Dr, Greensboro, NC, 27405-5679
Phone Number
336-378-1421
Fax Number
336-273-5065
Provider Enumeration Date
03/12/2007
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
336-273-5065
person
Provider Business Mailing Address Details
Address
504 E Cornwallis Dr
City
State
Zip
27405-5679
Phone Number
336-378-1421
Fax Number
336-273-5065
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
9058 (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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