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Contact Information

THANE HEPWORTH, DDS
3 E CENTER ST
SUGAR CITY, ID83448-1247
 Phone: 208-656-2000
 Fax: 208-464-9002
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for THANE HEPWORTH · (Male)

NPI Number 1902211733
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/01/2014
Last updated 07/29/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • ID License # D4717
  • SD License # D1059
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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