Active NPIIndividual providerSole proprietor

Dr. Mark J Hannah, DDS

Dentist in Spring Lake, New Jersey

NPI Number1396751095
Practice location
200 State Route 71, Spring Lake, NJ 07762-1827
Fax
—
Last updated
July 8, 2007

Mark J. Hannah is a Dentist based in Spring Lake, NJ. Mark J. Hannah practices in Spring Lake, NJ and has the professional credentials of DDS. The NPI Number for Mark J. Hannah is 1396751095 and holds a License No. DI15277 (NJ). The current practice location address for Mark J. Hannah is 200 State Route 71, Spring Lake, NJ 07762-1827 and can be reached out via phone at 732-449-5050.

Provider Profile Details

NPI Number
1396751095
Provider Name
Mark J. Hannah
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
200 State Route 71, Spring Lake, NJ 07762-1827
Phone Number
732-449-5050
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
August 1, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 State Route 71
Spring Lake, NJ 07762-1827
Zip
07762-1827
Phone Number
732-449-5050
Spring Lake, NJ 07762Get directions →

Provider Business Mailing Address Details

Address
200 State Route 71
Spring Lake, NJ 07762-1827
City
Spring Lake
State
NJ
Zip
07762-1827
Phone Number
732-449-5050

License Information

License Number
DI15277
License State
NJ
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Mark J Hannah, DDS?

The NPI number of Dr. Mark J Hannah, DDS is 1396751095. It was assigned on August 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Mark J Hannah, DDS?

Dr. Mark J Hannah, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number DI15277.

Where does Dr. Mark J Hannah, DDS practice?

The practice location is 200 State Route 71, Spring Lake, NJ 07762-1827. The office can be reached at 732-449-5050 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396751095 directly on the NPPES registry website.

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