Hanna, John D
Hanna, John D is an individual health care provider with primary practice located at 8 N State St Suite 203, Lake Oswego OR 97034-3956. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Hanna, John D can be contacted via phone (503) 635-3483.Contact Information
Primary practice address
8 N State St Suite 203
Lake Oswego OR 97034-3956
Phone: (503) 635-3483
Fax: (503) 699-0345
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 5050 | Oregon |
Profile Details
| NPI number | 1669484648 |
|---|---|
| LBN Legal business name | Hanna, John D |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669484648 | NPPES |
| Oregon | MEDICAID | 085845 |
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