NPI age
13 years
Enumerated 2012-12-20
● Active
Type 1 · Individual
DR. Evan Hathaway, DDS
Hathaway is 1 of 6 dentist providers in Eagle and 1 of 591 in Idaho.
Primary specialty
Dentist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-12-20
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 591 active dentist providers in Idaho.
NPI age
13 years
↓ 3 yr below median (16 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
17% of peers hold subspecialties
NPI lifetime · 2012 → 2026
2012-12Enumerated in NPPES
2012
2026
Where they practice
Practice location
1217 E Iron Eagle Dr
Eagle, ID 836166599
Mailing address
1217 E Iron Eagle Dr
Eagle, ID 836166599
Specialties
-
Dentist PrimaryA dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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