Fred M Hannan Sr, D.D.S., PC
Organization Active NPI General Practice Dentistry · Hephzibah, GA
NPI 1740438308 · NPPES record last updated Sep 8, 2008
Key facts
- NPI
- 1740438308
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 6539 (GA)
- Legal business name
- FRED M HANNAN SR, D.D.S., PC
- Practice address
- 4108 Windsor Spring Rd
Hephzibah, GA 30815-5910 - Phone
- (706) 793-3600
- NPI assigned
- Sep 8, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Fred M Hannan Sr., D.D.S.
- Title
- Dentist
- Phone
- (706) 793-3600
Practitioners 1
-
Adam Coleman, D.M.D
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 6539 | GA | Yes |
Addresses
Primary practice location
4108 Windsor Spring Rd
Hephzibah, GA 30815-5910
Mailing address
4108 Windsor Spring Rd
Hephzibah, GA 30815-5910
Other providers in Hephzibah, GA
- Catherine Espitallier
- Fast Track Communications LLC
- Corey Fluker
- Melinda Frank
- Mary E Franklin
- Freeman'S Second Time Around Healthcare Services
- Shakia Cooks Fuller
- Ruben Garnett
- Gentle &Loving Heart Home Care LLC
- Georgia Department of Human Resources
All providers in Hephzibah, GA · General Practice Dentistry in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2008. 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.