Hanson, Larry Jay
Hanson, Larry Jay is an individual health care provider with primary practice located at Bldg 38717 38Th Street Usa Dentac, Fort Gordon GA 30905-5660. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Dentist is his primary health care specialty. Hanson, Larry Jay can be contacted via phone (706) 787-6927.Contact Information
Primary practice address
Bldg 38717 38Th Street Usa Dentac
Fort Gordon GA 30905-5660
Phone: (706) 787-6927
Fax: (706) 787-2082
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 06671 | Iowa |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 06671 | Iowa |
Profile Details
| NPI number | 1366424624 |
|---|---|
| LBN Legal business name | Hanson, Larry Jay |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2005 |
| 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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