Healthcare Provider Details

I. General information

NPI: 1265975510
Provider Name (Legal Business Name): TRIAD DENTISTRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2016
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2516 OAKCREST AVENUE SUITE A
GREENSBORO NC
27408-1933
US

IV. Provider business mailing address

2516 OAKCREST AVE SUITE A
GREENSBORO NC
27408-1933
US

V. Phone/Fax

Practice location:
  • Phone: 336-383-1482
  • Fax: 336-282-2437
Mailing address:
  • Phone: 336-383-1482
  • Fax: 336-282-2437

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number7439
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. STEVEN L HATCHER
Title or Position: OWNER/DOCTOR
Credential: DDS
Phone: 336-383-1482