NPI age
19 years
Enumerated 2006-11-06
● Active Type 2 · Organization
Evan Hathaway DDS PA
Evan Hathaway DDS PA is 1 of 591 dentist organizations in Idaho.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hathaway
President
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 591 active dentist providers in Idaho.
NPI age
19 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
7677 Emerald St
Boise, ID 83704
Mailing address
7677 Emerald St
Boise, ID 83704
Authorized official
Evan Wayne Hathaway, DDS
President
📞 2083771161
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...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Evan W Hathaway DDS
Practice context
Single-site organization. Only one practice location on file.
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