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Dr. Fred M Hannan SR., DDS
General Practice Dentistry in Hephzibah, Georgia
NPI 1972583151

Fred M Hannan SR. is a General Practice Dentistry based in Hephzibah, GA and is specialized in General Practice. Fred M Hannan SR. practices in Hephzibah, GA and has the professional credentials of DDS. The NPI Number for Fred M Hannan SR. is 1972583151 and holds a License No. 6539 (Georgia).

The current practice location address for Fred M Hannan SR. is 4108 Windsor Spring Rd, Hephzibah, GA and can be reached out via phone at 706-793-3600 and via fax at 706-793-8641.

Location: 4108 Windsor Spring Rd, Hephzibah, GA, 30815-5910
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972583151
Provider Name
Fred M Hannan SR.
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
4108 Windsor Spring Rd, Hephzibah, GA, 30815-5910
Phone Number
706-793-3600
Fax Number
706-793-8641
Provider Enumeration Date
01/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
149313 01 GA UNITED CONCORDIA ID
institution
Provider Business Practice Location Address Details
Address
4108 Windsor Spring Rd
City
Hephzibah
State
Georgia
Zip
30815-5910
Phone Number
706-793-3600
Fax Number
706-793-8641
person
Provider Business Mailing Address Details
Address
4108 Windsor Spring Rd
City
Hephzibah
State
Georgia
Zip
30815-5910
Phone Number
706-793-3600
Fax Number
706-793-8641
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
6539 (Georgia)
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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