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NPI Code Detail

MEDICARE: DR. JOHN DEVER HATCH JR. D.D.S.

MEDICARE:  DR. JOHN DEVER HATCH JR. D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist2901010431MI

General Provider Information

NPI Number : 1508201450
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN DEVER HATCH JR. D.D.S.
Provider Business Mailing Address
First Line : 1240 N MAPLE RD
Second Line :
City : ANN ARBOR
State : MI
Zip : 48103-2842
Country : US
Telephone Number : 734-995-5191
Fax Number : 734-995-7079
Provider Business Practice Location Address
First Line : 1240 N MAPLE RD
Second Line :
City : ANN ARBOR
State : MI
Zip : 48103-2842
Country : US
Telephone Number : 734-995-5191
Fax Number : 734-995-7079
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2013
Last Update Date : 05/06/2013

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Directions to “ DR. JOHN DEVER HATCH JR. D.D.S.” Practice Location

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