THANE C. HISAW, DMD, PA is a pediatric dentistry dentist in Greensboro, NC. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. THANE C. HISAW, DMD, PA NPI is 1376983213. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
504 E CORNWALLIS DR
STE. J
GREENSBORO, NC
ZIP 27405-679
Phone: (336) 378-1421
The provider's authorized official is Thane Hisaw .
The authorized official title is President and has the following contact phone number (907) 315-6812.
The enumeration date for this NPI number is 6/25/2013 and was last updated on 6/27/2013.