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:
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Health care specialties

SpecialtyCodeLicense #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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