Hannula, David Richard
Hannula, David Richard is an individual health care provider with primary practice located at 4146 6Th Ave , Tacoma WA 98406-4013. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Hannula, David Richard can be contacted via phone (253) 759-5622.Contact Information
Primary practice address
4146 6Th Ave
Tacoma WA 98406-4013
Phone: (253) 759-5622
Fax: (253) 761-8441
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 5429 | Washington |
Profile Details
| NPI number | 1982688578 |
|---|---|
| LBN Legal business name | Hannula, David Richard |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2005 |
| Last updated | Sep 5th, 2019 - about 7 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 | 1982688578 | NPPES |
| Washington | Other | 5002902 | DSHS |
| Washington | Other | 0017297 | DSHS |
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