Individual
COLLIN RAYMOND HATCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2127 CLIFF RD, EAGAN, MN 55122-2301
(651) 454-9028
(651) 454-6212
Mailing address
2127 CLIFF RD, EAGAN, MN 55122-2301
(651) 454-9028
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9223
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23459HA
BLUE CROSS BLUE SHIELD
MN
01
—
429140
UNITED CONCORDIA
MN
Enumeration date
08/03/2006
Last updated
07/08/2007
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