person
Brent James Hansen, DDS
Student in an Organized Health Care Education/Training Program in Dallas, Texas
NPI 1700080660

Brent James Hansen is a Student in an Organized Health Care Education/Training Program based in Dallas, TX. Brent James Hansen practices in Dallas, TX and has the professional credentials of DDS. The NPI Number for Brent James Hansen is 1700080660 and holds a License No. (Texas).

The current practice location address for Brent James Hansen is 5201 Harry Hines Blvd, Dallas, TX and can be reached out via phone at 214-590-8058.

Location: 5201 Harry Hines Blvd, Dallas, TX, 75235-7708
person
Provider Profile Details
NPI Number
1700080660
Provider Name
Brent James Hansen
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
5201 Harry Hines Blvd, Dallas, TX, 75235-7708
Phone Number
214-590-8058
Fax Number
Provider Enumeration Date
06/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BP1-0028839 01 INSTITUTIONAL PERMIT
institution
Provider Business Practice Location Address Details
Address
5201 Harry Hines Blvd
City
State
Zip
75235-7708
Phone Number
214-590-8058
Fax Number
person
Provider Business Mailing Address Details
Address
5201 Harry Hines Blvd
City
State
Zip
75235-7708
Phone Number
214-590-8058
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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