Hanson, Jonathan Grant
Hanson, Jonathan Grant is an individual health care provider with primary practice located at 1400 Southwest Blvd Suite C, Jefferson City MO 65109-2490. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Hanson, Jonathan Grant can be contacted via phone (573) 635-7216.Contact Information
Primary practice address
1400 Southwest Blvd Suite C
Jefferson City MO 65109-2490
Phone: (573) 635-7216
Fax: (573) 635-2646
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 011885 | Missouri |
Profile Details
NPI number | 1518073402 |
---|---|
LBN Legal business name | Hanson, Jonathan Grant |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 22nd, 2006 |
Last updated | Jul 8th, 2007 - about 17 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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