Jonathan Grant Hanson in Jefferson City - Oral And Maxillofacial Surgery
Jonathan Grant Hanson - NPI 1518073402
Jonathan Grant Hanson is a Oral And Maxillofacial Surgery in Jefferson City, Missouri. Jonathan Grant Hanson practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Jonathan Grant Hanson is 1518073402. The last update date is 2007-07-08.
Jonathan Grant Hanson's current location address is 1400 Southwest Blvd, Jefferson City, Missouri. You can contact this provider via phone number 5736357216 and fax number 5736352646. The mailing address for Jonathan Grant Hanson is 1400 Southwest Blvd, Jefferson City, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jonathan Grant Hanson |
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Address | 1400 Southwest Blvd, Jefferson City, Missouri |
Phone Number | 5736357216 |
Fax Number | 5736352646 |
Sole Proprietor | N |
Credentials | D.D.S. |
NPI Number Detail
NPI Number | 1518073402 |
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Provider Enumeration Date | 2006-08-22 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1400 Southwest Blvd |
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City | Jefferson City |
State | Missouri (MO) |
Post Code | 651092490 |
Phone Number | 5736357216 |
Fax Number | 5736352646 |
Provider's Primary Taxonomy Detail
Speciality | Oral And Maxillofacial Surgery |
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Taxonomy | 1223S0112X |
Licence No | 11885 |
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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What is the unique 10-digit identification code issued to Jonathan Grant Hanson by the Centers for Medicare & Medicaid Services?
The Jonathan Grant Hanson has been assigned the NPI (National Provider Identifier) 1518073402 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Jonathan Grant Hanson's facilities are situated?
The facilities of Jonathan Grant Hanson are physically located at the following address: 1400 Southwest Blvd, Jefferson City, MO, 651092490.
What is the Jonathan Grant Hanson's area of specialization and corresponding taxonomy classification?
The Jonathan Grant Hanson's specialty field is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1518073402 to Jonathan Grant Hanson?
The Jonathan Grant Hanson received its 1518073402 assignment from the Centers for Medicare & Medicaid Services on 2006-08-22.
When was the information pertaining to Jonathan Grant Hanson most recently updated or revised?
The details related to Jonathan Grant Hanson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.