| Michael C. Hattaway | |
|
1127 Carthage St Sanford NC 27330-4162 | |
| (919) 775-2522 | |
| (919) 774-5639 |
| Full Name | Michael C. Hattaway |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1127 Carthage St, Sanford, North Carolina |
| Authorized Official Name and Position | Michael C. Hattaway (DENTIST) |
| Authorized Official Contact | 9197752522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael C. Hattaway 1127 Carthage St Sanford NC 27330-4162 Ph: (919) 775-2522 | Michael C. Hattaway 1127 Carthage St Sanford NC 27330-4162 Ph: (919) 775-2522 |
| NPI Number | 1376746222 |
|---|---|
| Provider Enumeration Date | 06/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376746222 | NPI | - | NPPES |
| 8993707 | Medicaid | NC | |
| 93707 | Other | NC | BCBS NC |
| 023743 | Other | NC | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4849 (North Carolina) | Primary |
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