Nasser S. Hanna I, D.D.S.
Individual provider Active NPI General Practice Dentistry · Spencer, MA
NPI 1619973716 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1619973716
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 20212 (MA)
- Practice address
- 284 Main St
Spencer, MA 01562-1839 - Phone
- (508) 885-5511
- Fax
- (508) 885-7665
- NPI assigned
- Jun 23, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20212 | MA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nasser S. Hanna, DDS, PC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 20212 | MA | Yes |
Addresses
Primary practice location
284 Main St
Spencer, MA 01562-1839
Mailing address
284 Main St
Spencer, MA 01562-1839
Phone (508) 885-5511
Other providers in Spencer, MA
- Steven Goguen
- Kevin Patrick Grace
- Edelynn Grateraux
- Mitchell David Gurk
- Deborah Gurski
- Ashley Harvey
- Healing Habits Psychotherapy & Therapeutic Services
- Health & Wellness Systems LLC
- Melissa A. Hilborn
- Mona Zaidi Hinrichsen
All providers in Spencer, MA · General Practice Dentistry in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.