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Dr. Chad Raymond Hanneman, DDS
General Practice Dentistry in Coralville, Iowa
NPI 1902023450

Chad Raymond Hanneman is a General Practice Dentistry based in Coralville, IA and is specialized in General Practice. Chad Raymond Hanneman practices in Coralville, IA and has the professional credentials of DDS. The NPI Number for Chad Raymond Hanneman is 1902023450 and holds a License No. 8001 (Iowa).

The current practice location address for Chad Raymond Hanneman is 2441 Coral Court #5, Coralville, IA and can be reached out via phone at 319-545-6251 and via fax at 319-545-7265.

Location: 2441 Coral Court #5, Coralville, IA, 52241
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902023450
Provider Name
Chad Raymond Hanneman
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2441 Coral Court #5, Coralville, IA, 52241
Phone Number
319-545-6251
Fax Number
319-545-7265
Provider Enumeration Date
04/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1219089 05 IA
20737 01 IA BCBS
1382746 01 IA CONCORDIA
institution
Provider Business Practice Location Address Details
Address
2441 Coral Court #5
City
Coralville
State
Iowa
Zip
52241
Phone Number
319-545-6251
Fax Number
319-545-7265
person
Provider Business Mailing Address Details
Address
2441 Coral Court #5
City
Coralville
State
Iowa
Zip
52241
Phone Number
319-545-6251
Fax Number
319-545-7265
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
8001 (Iowa)
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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