Hanson, Shane R

Hanson, Shane R is an individual health care provider with primary practice located at 2999 W 10Th St , Panama City FL 32401-1444. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Hanson, Shane R can be contacted via phone (850) 215-3339.

Contact Information

Primary practice address
2999 W 10Th St Panama City FL 32401-1444
Phone: (850) 215-3339
Fax: (888) 788-5217
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 19025779 Illinois
Dental Providers / Endodontics 1223E0200X DN17872 Florida

Profile Details

NPI number 1710907787
LBN Legal business name Hanson, Shane R
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Aug 26th, 2009 - about 15 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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