Provider Demographics
NPI:1730735770
Name:HATCH, KAI STEVEN (DMD)
Entity type:Individual
Prefix:DR
First Name:KAI
Middle Name:STEVEN
Last Name:HATCH
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 CANYON CT
Mailing Address - Street 2:
Mailing Address - City:WILLOW PARK
Mailing Address - State:TX
Mailing Address - Zip Code:76087-3203
Mailing Address - Country:US
Mailing Address - Phone:817-441-1211
Mailing Address - Fax:
Practice Address - Street 1:209 CANYON CT
Practice Address - Street 2:
Practice Address - City:WILLOW PARK
Practice Address - State:TX
Practice Address - Zip Code:76087-3203
Practice Address - Country:US
Practice Address - Phone:817-441-1211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-15
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35090122300000X, 1223E0200X
NE7892122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No122300000XDental ProvidersDentist