Hansen, Gentry Michael

Hansen, Gentry Michael is an individual health care provider with primary practice located at 5828 Sunnybrook Dr , Sioux City IA 51106-4253. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Hansen, Gentry Michael can be contacted via phone (712) 823-9654.

Contact Information

Primary practice address
5828 Sunnybrook Dr Sioux City IA 51106-4253
Phone: (712) 823-9654
Fax: (712) 823-9008
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X D1197 South Dakota
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 09513 Iowa
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 45169 Iowa
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 11002 South Dakota
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 32567 Texas

Profile Details

NPI number 1235497975
LBN Legal business name Hansen, Gentry Michael
Credentials DMD, MD
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2012
Last updated Mar 7th, 2024 - about 8 months 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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