Provider Demographics
NPI:1598585549
Name:ANTHONY HATCH, DDS, INC.
Entity type:Organization
Organization Name:ANTHONY HATCH, DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARITSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-482-1070
Mailing Address - Street 1:12112 SCRIPPS SUMMIT DR STE C
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92131-4606
Mailing Address - Country:US
Mailing Address - Phone:858-530-0300
Mailing Address - Fax:
Practice Address - Street 1:12112 SCRIPPS SUMMIT DR STE C
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92131-4606
Practice Address - Country:US
Practice Address - Phone:858-530-0300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-15
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty