Hanson, Samantha Michelle Fonkert

Hanson, Samantha Michelle Fonkert is an individual health care provider with primary practice located at 7710 Brooklyn Blvd Fl 1 , Brooklyn Park MN 55443-2979. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Hanson, Samantha Michelle Fonkert can be contacted via phone (651) 292-9331.

Contact Information

Primary practice address
7710 Brooklyn Blvd Fl 1 Brooklyn Park MN 55443-2979
Phone: (651) 292-9331
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D14917 Minnesota

Profile Details

NPI number 1528742137
LBN Legal business name Hanson, Samantha Michelle Fonkert
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2023
Last updated Jun 14th, 2023 - about 3 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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