Hannula, David Richard

Hannula, David Richard is an individual health care provider with primary practice located at 4146 6Th Ave , Tacoma WA 98406-4013. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Hannula, David Richard can be contacted via phone (253) 759-5622.

Contact Information

Primary practice address
4146 6Th Ave Tacoma WA 98406-4013
Fax: (253) 761-8441
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 5429 Washington

Profile Details

NPI number 1982688578
LBN Legal business name Hannula, David Richard
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Sep 5th, 2019 - about 5 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 1982688578 NPPES
Washington Other 5002902 DSHS
Washington Other 0017297 DSHS

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