Richard B. Hansen in Crystal Lake - Orthodontics And Dentofacial Orthopedics

Richard B. Hansen - NPI 1174666572

Richard B. Hansen is a Orthodontics And Dentofacial Orthopedics in Crystal Lake, Illinois. Richard B. Hansen practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Richard B. Hansen is 1174666572. The last update date is 2007-07-08.

Richard B. Hansen's current location address is 460 Coventry Ln, Crystal Lake, Illinois. You can contact this provider via phone number 8154591083. The mailing address for Richard B. Hansen is 460 Coventry Ln, Crystal Lake, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard B. Hansen
Address 460 Coventry Ln, Crystal Lake, Illinois
Phone Number 8154591083
Fax Number
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1174666572
Provider Enumeration Date 2007-02-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 460 Coventry Ln
City Crystal Lake
State Illinois (IL)
Post Code 600147561
Phone Number 8154591083
Fax Number

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Definition:
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel

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FAQs about Richard B. Hansen

What is the unique identifier code issued to Richard B. Hansen by the Centers for Medicare & Medicaid Services?

The Richard B. Hansen has been assigned the NPI (National Provider Identifier) 1174666572. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Richard B. Hansen is located?

The Richard B. Hansen is situated at the following address: 460 Coventry Ln, Crystal Lake, IL, 600147561.

What is Richard B. Hansen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Richard B. Hansen's specialized field of practice is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of specialization is 1223X0400X.

On what date did the Centers for Medicare & Medicaid Services issue the 1174666572 to Richard B. Hansen?

The Richard B. Hansen received its 1174666572 assignment from the Centers for Medicare & Medicaid Services on 2007-02-15.

As of what date was the information regarding Richard B. Hansen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Richard B. Hansen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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