# JENNA L. HATFIELD DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hatfield Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619387503
- **Authorized official:** DR. JENNA L HATFIELD DDS (DENTIST/OWNER)
- **Authorized official phone:** (402) 371-1170

## Contact information

- **Practice address:** 2501 LAKERIDGE DR, SUITE 102, NORFOLK, NE 68701-2558
- **Practice address phone:** (402) 371-1170
- **Practice address fax:** (402) 644-3469
- **Mailing address:** 2501 LAKERIDGE DR, SUITE 102, NORFOLK, NE 68701-2558
- **Mailing address phone:** (402) 371-1170
- **Mailing address fax:** (402) 644-3469

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 4752 | NE | Yes |

## Other

- **Enumeration date:** 05/01/2014
- **Last updated:** 05/30/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 122300000X | TAXONOMY | NE |
| 01 | — | 4752 | LICENSE | NE |