Mark H Hanson in Green Bay - Orthodontics And Dentofacial Orthopedics
Mark H Hanson - NPI 1760551857
Mark H Hanson is a Orthodontics And Dentofacial Orthopedics in Green Bay, Wisconsin. Mark H Hanson practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Mark H Hanson is 1760551857. The last update date is 2015-12-09.
Mark H Hanson's current location address is 2000 Shady Lane, Green Bay, Wisconsin. You can contact this provider via phone number 9204993721 and fax number 9204997502. The mailing address for Mark H Hanson is 2000 Shady Lane, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark H Hanson |
|---|---|
| Address | 2000 Shady Lane, Green Bay, Wisconsin |
| Phone Number | 9204993721 |
| Fax Number | 9204997502 |
| Sole Proprietor | N |
| Credentials | DDS MS |
NPI Number Detail
| NPI Number | 1760551857 |
|---|---|
| Provider Enumeration Date | 2006-11-06 |
| Last Updated Date | 2015-12-09 |
Provider Mailing Address Detail
| Address | 2000 Shady Lane |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543139311 |
| Phone Number | 9204993721 |
| Fax Number | 9204997502 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 5446 015 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Mark H Hanson by the Centers for Medicare & Medicaid Services (CMS)?
The Mark H Hanson has been assigned the NPI (National Provider Identifier) 1760551857. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Mark H Hanson?
The Mark H Hanson is physically situated at 2000 Shady Lane, in the city of Green Bay, state of WI, with the postal code 543139311.
What is Mark H Hanson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark H Hanson is Orthodontics And Dentofacial Orthopedics, and the taxonomy classification code that categorizes this area of expertise is 1223X0400X.
On what date did Mark H Hanson receive its 1760551857 assignment from the Centers for Medicare & Medicaid Services?
The Mark H Hanson was assigned its 1760551857 on 2006-11-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Mark H Hanson most recently updated or refreshed?
The details pertaining to the Mark H Hanson, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-12-09.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN