Hanna, Mark A.

Hanna, Mark A. is an individual health care provider with primary practice located at 55 Main St , Framingham MA 01702-2934. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hanna, Mark A. can be contacted via phone (508) 875-0400.

Contact Information

Primary practice address
55 Main St Framingham MA 01702-2934
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 20011 Massachusetts

Profile Details

NPI number 1639113210
LBN Legal business name Hanna, Mark A.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Aug 29th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639113210 NPPES
Massachusetts Other X11874 BLUE CROSS BLUE SHIELD

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