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David L. Hanson, DDS
General Practice Dentistry in Prudenville, Michigan
NPI 1366649980

David L. Hanson is a General Practice Dentistry based in Prudenville, MI and is specialized in General Practice. David L. Hanson practices in Prudenville, MI and has the professional credentials of DDS. The NPI Number for David L. Hanson is 1366649980 and holds a License No. 13648 (Michigan).

The current practice location address for David L. Hanson is 1090 W Houghton Lake Dr, Prudenville, MI and can be reached out via phone at 989-366-8643 and via fax at 989-366-9525.

Location: 1090 W Houghton Lake Dr, Prudenville, MI, 48651-9613
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366649980
Provider Name
David L. Hanson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1090 W Houghton Lake Dr, Prudenville, MI, 48651-9613
Phone Number
989-366-8643
Fax Number
989-366-9525
Provider Enumeration Date
06/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13648 01 MI LICENSE NUMBER
136480 01 MI BCBS
institution
Provider Business Practice Location Address Details
Address
1090 W Houghton Lake Dr
City
Prudenville
State
Michigan
Zip
48651-9613
Phone Number
989-366-8643
Fax Number
989-366-9525
person
Provider Business Mailing Address Details
Address
1090 W Houghton Lake Dr
City
Prudenville
State
Michigan
Zip
48651-9613
Phone Number
989-366-8643
Fax Number
989-366-9525
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
13648 (Michigan)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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