Douglas Clark Hannah in Fairmont - Dentist
Douglas Clark Hannah - NPI 1184707580
Douglas Clark Hannah is a Dentist in Fairmont, . Douglas Clark Hannah practices all healthcare services and medical treatments related to Dentist. The NPI Number for Douglas Clark Hannah is 1184707580. The last update date is 2007-07-08.
Douglas Clark Hannah's current location address is 1520 Country Club Rd, Fairmont, . You can contact this provider via phone number 3043639160 and fax number 3043633693. The mailing address for Douglas Clark Hannah is 1520 Country Club Rd, Fairmont, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas Clark Hannah |
|---|---|
| Address | 1520 Country Club Rd, Fairmont, |
| Phone Number | 3043639160 |
| Fax Number | 3043633693 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1184707580 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1520 Country Club Rd |
|---|---|
| City | Fairmont |
| State | (WV) |
| Post Code | 26554 |
| Phone Number | 3043639160 |
| Fax Number | 3043633693 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 3162 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 134011000 | WV | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Douglas Clark Hannah by the Centers for Medicare & Medicaid Services?
The Douglas Clark Hannah has been assigned the NPI (National Provider Identifier) 1184707580 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Douglas Clark Hannah is geographically located?
The Douglas Clark Hannah is physically situated at the following location: 1520 Country Club Rd, Fairmont, WV, 26554.
What is Douglas Clark Hannah's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Douglas Clark Hannah is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did Douglas Clark Hannah receive its 1184707580 assignment from the Centers for Medicare & Medicaid Services?
The Douglas Clark Hannah was assigned its 1184707580 on 2006-10-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Douglas Clark Hannah, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Douglas Clark Hannah, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.