Healthcare Provider Details

I. General information

NPI: 1265454599
Provider Name (Legal Business Name): MICHAEL N HATTON DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 N UNION RD SUITE 2
WILLIAMSVILLE NY
14221-5339
US

IV. Provider business mailing address

40 N UNION RD SUITE 2
WILLIAMSVILLE NY
14221-5339
US

V. Phone/Fax

Practice location:
  • Phone: 716-632-5557
  • Fax: 716-632-7614
Mailing address:
  • Phone: 716-632-5557
  • Fax: 716-632-7614

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number038872-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: