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Dr. John Lusk Hathaway, DDS
Orthodontics and Dentofacial Orthopedic Dentist in Johnson City, Tennessee
NPI 1790798718

John Lusk Hathaway is a Orthodontics and Dentofacial Orthopedic Dentist based in Johnson City, TN and is specialized in Orthodontics and Dentofacial Orthopedics. John Lusk Hathaway practices in Johnson City, TN and has the professional credentials of DDS. The NPI Number for John Lusk Hathaway is 1790798718 and holds a License No. 5920 (Tennessee).

The current practice location address for John Lusk Hathaway is 300 W Watauga Ave, Johnson City, TN and can be reached out via phone at 423-929-1126 and via fax at 423-929-8111.

Location: 300 W Watauga Ave, Johnson City, TN, 37604-5549
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790798718
Provider Name
John Lusk Hathaway
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
300 W Watauga Ave, Johnson City, TN, 37604-5549
Phone Number
423-929-1126
Fax Number
423-929-8111
Provider Enumeration Date
08/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7282 01 TN TENNCARE/DORAL DENTAL
institution
Provider Business Practice Location Address Details
Address
300 W Watauga Ave
City
Johnson City
State
Tennessee
Zip
37604-5549
Phone Number
423-929-1126
Fax Number
423-929-8111
person
Provider Business Mailing Address Details
Address
300 W Watauga Ave
City
Johnson City
State
Tennessee
Zip
37604-5549
Phone Number
423-929-1126
Fax Number
423-929-8111
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
5920 (Tennessee)
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
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