EDWIN M. WHITE AND THOMAS W. HATHORN, A PROFESSIONAL DENTAL CORP. (NPI# 1407915655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407915655 |
| Entity Type | Organization |
| Organization Name | EDWIN M. WHITE AND THOMAS W. HATHORN, A PROFESSIONAL DENTAL CORP. |
| Other Organization Name | WHITE & HATHORN DENTAL CORP. |
| Practice Address |
402 Pinegrove Dr Pineville LA 71360-5726 |
| Practice Telephone | 3184483804 |
| Practice Fax Number | 3184484880 |
| Mailing Telephone | 3184483804 |
| Mailing Fax Number | 3184484880 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. THOMAS WAYNE HATHORN (PARTNER) |
| Authorized Official Telephone | 3184483804 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
5576 | LA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
2775 | LA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3154 | LA | Dental Providers |
| Other Name | Type Code |
|---|---|
| White & Hathorn Dental Corp. | Doing Business As Name - Organization |
| Street Address |
402 PINEGROVE DR |
| City | PINEVILLE |
| State | LA |
| Zip Code | 71360-5726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922231232 | Virginia Valentine Locke | Dentist | 402 Pinegrove Dr, Pineville, LA 71360-5726 | 2009-09-02 |
| 1023241338 | Thomas Wayne Hathorn | Dentist | 402 Pinegrove Dr, Pineville, LA 71360-5726 | 2009-09-02 |
| 1194961607 | Hathorn & Locke General Dentistry, LLC | Dentist | 402 Pinegrove Dr, Pineville, LA 71360-5726 | 2009-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578110789 | Reneisha Armonii Roberts | Pharmacist | 3100 La-28, Pineville, LA 71360 | 2019-08-22 |
| 1396303145 | Tina Marie Lawhorn | Nurse Practitioner | 2945 Shreveport Hwy, Pineville, LA 71360 | 2019-06-05 |
| 1942773213 | Tioga Pharmacy LLC | Pharmacy | 5101 Shreveport Hwy, Pineville, LA 71360 | 2019-01-09 |
| 1649755497 | Jessica Wooten | Nurse Practitioner | 292 Jerry Lofton Rd, Pineville, LA 71360 | 2018-09-27 |
| 1215421995 | Elizabeth Simon-clark | Counselor | Central La State Hospital Unit 6 Meadows Lane, Pineville, LA 71360 | 2018-06-18 |
| 1982116497 | Dm Properties of Rapides, LLC | Radiology | 2705 Highway 28 E Ste B, Pineville, LA 71360 | 2017-10-25 |
| 1508384587 | Marion Patrick Hazelton I | Counselor | Pathways Red River Treatment Center, 242 West Shamrock Ave Unit 6 Melody Lane, Pineville, LA 71360 | 2017-08-30 |
| 1669902557 | Jessica Williams | Social Worker | Unit 6 Wing A Meadow Lane, Pineville, LA 71360 | 2017-06-14 |
| 1104365840 | Naomi Gates | Social Worker | 242 W Shamrock Unit 1, Pineville, LA 71360 | 2017-02-14 |
| 1861930224 | Sharon Humphrey | Counselor | 5400 Service Rd B206, Pineville, LA 71360 | 2017-02-06 |
| Find all providers in zip 71360 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790278547 | Audrey Craig Kinder | Dentist | 10156 Us Highway 25 E, Pineville, KY 40977-8584 | 2018-06-07 |
| 1215297288 | Neha Pal Kuthiala | Dentist | 11949 Southcrest Ln, Pineville, NC 28134-9132 | 2012-05-23 |
| 1932232949 | Hayes O. Huffman | Dentist | 12749 Highway 28 E Ste A, Pineville, LA 71360-0735 | 2007-03-13 |
| 1154473395 | Frederick Monroe Hilburn II | Dentist | 104 Griffith St, Pineville, LA 71360-5288 | 2007-01-17 |
| 1871607895 | Honey Russell Fiasconaro | Dentist | 3200 Monroe Hwy, Suite 150, Pineville, LA 71360-8110 | 2006-08-18 |
| 1013930619 | Warren P Brumfield | Dentist | 104 Cleco Dr, Pineville, LA 71360-5325 | 2006-07-25 |
| 1023097649 | Jonas Erwin Gauthier | Dentist | 5016 Highway 28 E, Pineville, LA 71360-4737 | 2006-01-12 |
| 1285046052 | Cote L Ryland | Dentist | 104 Cleco Dr, Pineville, LA 71360-5325 | 2014-05-28 |
| 1215206933 | Stacey L. Norris, D.m.d., P.a. | Dentist | 526 Main Street, Pineville, NC 28134 | 2011-12-27 |
| 1922231232 | Virginia Valentine Locke | Dentist | 402 Pinegrove Dr, Pineville, LA 71360-5726 | 2009-09-02 |
| Find all providers in PINEVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.