Hanson, Michael D

Hanson, Michael D is an individual health care provider with primary practice located at 1328 W 23Rd St , Panama City FL 32405. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Hanson, Michael D can be contacted via phone (850) 785-7273.

Contact Information

Primary practice address
1328 W 23Rd St Panama City FL 32405
Phone: (850) 785-7273
Fax: (850) 785-5399
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DN0010297 Florida

Profile Details

NPI number 1487660130
LBN Legal business name Hanson, Michael D
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Apr 5th, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487660130 NPPES
Florida MEDICAID 075200200

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