person
Dr. John Timothy Hansford JR., DMD
Dentist Anesthesiologist in Commack, New York
NPI 1386931095

John Timothy Hansford JR. is a Dentist Anesthesiologist based in Brooklyn, NY and is specialized in Dentist Anesthesiologist. John Timothy Hansford JR. practices in Commack, NY and has the professional credentials of DMD. The NPI Number for John Timothy Hansford JR. is 1386931095 and holds a License No. 056107 (New York).

The current practice location address for John Timothy Hansford JR. is 2171 Jericho Tpke, Commack, NY and can be reached out via phone at 631-486-6364.

Location: 2171 Jericho Tpke, Commack, NY, 11222-2934
person
Provider Profile Details
NPI Number
1386931095
Provider Name
John Timothy Hansford JR.
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2171 Jericho Tpke, Commack, NY, 11222-2934
Phone Number
631-486-6364
Fax Number
Provider Enumeration Date
07/01/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
131740114 05 NY
institution
Provider Business Practice Location Address Details
Address
2171 Jericho Tpke
City
State
Zip
11725-2937
Phone Number
631-486-6364
Fax Number
person
Provider Business Mailing Address Details
Address
2171 Jericho Tpke
City
State
Zip
11725-2937
Phone Number
631-486-6364
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Dentist Anesthesiologist
Taxonomy
License No.
056107 (New York)
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
056107 (New York)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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