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NPI 1962301986

NPI 1962301986 : JEREMY D HATCH, DMD, PC : HURRICANE, UT

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General NPI Number Information
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    NPI Number           |    1962301986
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    Entity Type          |    Organization 
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    Legal Business Name  |    JEREMY D HATCH, DMD, PC 
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Dates
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    Enumeration Date     |    11/04/2026
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    Last Update Date     |    11/04/2026
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Provider Practice Location Address
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    Address Line         |    52 S 850 W STE 201 
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    City                 |    HURRICANE
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    State                |    UT
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    Zip                  |    84737-3361
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    Country              |    US
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    Telephone            |    435-635-9471
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    Fax                  |    435-635-9473
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Provider Business Mailing Address
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    Address Line         |    52 S 850 W STE 201 
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    City                 |    HURRICANE
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    State                |    UT
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    Zip                  |    84737-3361
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    Country              |    US
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    Telephone            |    435-635-9471
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DENTIST
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    Name                 |     JEREMY DEAN HATCH 
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    Credential           |    DMD
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    Telephone            |    435-669-1543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    
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    License Number State |    
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