Mark Allan Hanson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN9621 Issued in FL

Practice address

350 Mary St
Suite E
Punta Gorda, FL 33950-4564

Phone

(941) 639-4176

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033124474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 MARY ST",
            "address_2": "SUITE E",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339504564",
            "telephone_number": "941-639-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 MARY ST",
            "address_2": "SUITE E",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339504564",
            "telephone_number": "941-639-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "MARK",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN9621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Haney
• Hanna Pharmacy LLC
• Paula Hannon, LCSW
• Robert Anthony Hansell, MD
• Rebecca Anne Hansen
• Harbor Audiology, P.a.
• Harbor View Acres, Inc.
• Harborside Dental Assoc Pca
• Harborside Internal Medicine PA
• Harborside Psychiatric Services, LLC

• General Practice Dentistry in Punta Gorda, FL
• Providers in Punta Gorda, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.