Hannon Dental, P.L.L.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

HANNON DENTAL, P.L.L.C.

Doing business as

McGill Family Dentistry

Practice address

1421 Wayzata Blvd Ste 300
Wayzata, MN 55391-4109

Phone

(952) 473-1521

NPI assigned

Mar 23, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Charles Hannon, DDSNPI 1487002655

Title

Owner

Phone

(507) 254-7078

Specialties & licenses 1

Addresses

Other names 1

• McGill Family Dentistry Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Hannon, DDS

  • Dentist
  • Wayzata, MN
  • NPI 1487002655
  NPD Authorized official
• James Roger McGill, D.D.S.

  • General Practice Dentistry
  • Wayzata, MN
  • NPI 1346398872
  NPD (past)

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1659020824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 WAYZATA BLVD STE 300",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553914109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 WAYZATA BLVD STE 300",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553914109",
            "telephone_number": "952-473-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANNON DENTAL, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "HANNON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-254-7078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McGill Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mitchell Hagen, MD
• Hakim Medical Enterprises, P.a.
• Hammer Residences, Inc
• Hammer Residences, Inc.
• Hammer Residences, Inc.
• Charles Hannon, DDS
• Jodi S Haroldson, PT
• Katherine Jane Haskin, L.M.F.T.
• Pamela Hasselbring
• Timothy P Haupert, O.D.

• Dental Clinic/Center in Wayzata, MN
• Providers in Wayzata, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.