Hanne Dental, Inc.

LBN: Hanne Dental, Inc.
Hanne Dental, Inc. is an health care organization with primary practice located at 6655 Edwardsville Crossing Dr Ste D , Edwardsville IL 62025-2708. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice, Suppliers / Customized Equipment. Dental Providers / Dentist is the primary health care specialty. Hanne Dental, Inc. can be contacted via phone (618) 972-8655, or through Hanne, Sharon via phone (618) 972-8655.

Contact Information

Primary practice address
6655 Edwardsville Crossing Dr Ste D Edwardsville IL 62025-2708
Fax: (618) 656-9701
Website:
Authorized official contact:
Name: Hanne, Sharon Doctor of Dental Medicine (DMD)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019.024344 Illinois
Dental Providers / General Practice 1223G0001X 015867 Missouri
Suppliers / Customized Equipment 332BC3200X 019.024344 Illinois

Profile Details

NPI number 1972027878
LBN Legal business name Hanne Dental, Inc.
DBA Doing business as
Authorized official Hanne, Sharon Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2017
Last updated Jul 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972027878 NPPES
Missouri MEDICAID 403393918

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