Hansford, John Timothy

Hansford, John Timothy is an sole proprietor health care provider with primary practice located at 2171 Jericho Tpke , Commack NY 11725-2937. He recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / Dentist Anesthesiologist. Dental Providers / Pediatric Dentistry is his primary health care specialty. Hansford, John Timothy can be contacted via phone (631) 486-6364.

Contact Information

Primary practice address
2171 Jericho Tpke Commack NY 11725-2937
Phone: (631) 486-6364
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 056107 New York
Dental Providers / Dentist Anesthesiologist 1223D0004X 056107 New York

Profile Details

NPI number 1386931095
LBN Legal business name Hansford, John Timothy
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2011
Last updated May 17th, 2016 - about 9 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 1386931095 NPPES
New York MEDICAID 131740114

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