Active NPI
Hannahs Dental LLC
Doing business as West Albany Dental
- Dental Clinic/Center
- Albany, OR
National Provider Identifier
1417758889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- HANNAHS DENTAL LLC
- Doing business as
- West Albany Dental
- Practice address
- 715 Elm St SW
Albany, OR 97321-1935 - Phone
- (541) 928-6650
- Fax
- (541) 812-0150
- NPI assigned
- Mar 21, 2025
- Last updated
- Mar 21, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hannah Glazunov
- Title
- Owner
- Phone
- (360) 631-8132
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
715 Elm St SW
Albany, OR 97321-1935
Mailing address
715 Elm St SW
Albany, OR 97321-1935
Phone (541) 928-6650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760097034 | Other | OR | NPPES |
Other names 1
- West Albany Dental
National Provider Directory
National Provider DirectoryLocations
715 Elm St SW
Albany, OR 97321
Phone (541) 928-6650
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Portland, OR
- NPI 1760097034
-
- Dentist
- Albany, OR
- NPI 1932451945
-
- General Practice Dentistry
- Albany, OR
- NPI 1154395259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742515200000",
"number": "1417758889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 ELM ST SW",
"city": "ALBANY",
"state": "OR",
"postal_code": "973211935",
"telephone_number": "541-928-6650",
"fax_number": "541-812-0150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 ELM ST SW",
"city": "ALBANY",
"state": "OR",
"postal_code": "973211935",
"telephone_number": "541-928-6650",
"fax_number": "541-812-0150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HANNAHS DENTAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-21",
"last_updated": "2025-03-21",
"certification_date": "2025-03-21",
"status": "A",
"authorized_official_last_name": "GLAZUNOV",
"authorized_official_first_name": "HANNAH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "360-631-8132"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPPES",
"identifier": "1760097034",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "West Albany Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Albany, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.