Hisaw, Thane C.

Hisaw, Thane C. is an sole proprietor health care provider with primary practice located at 504 E Cornwallis Dr Ste. #J, Greensboro NC 27405-5679. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Hisaw, Thane C. can be contacted via phone (336) 378-1421.

Contact Information

Primary practice address
504 E Cornwallis Dr Ste. #J Greensboro NC 27405-5679
Fax: (336) 273-5065
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 9058 North Carolina

Profile Details

NPI number 1427180801
LBN Legal business name Hisaw, Thane C.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2007
Last updated Jun 27th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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