| Fred M Hannan Sr, D.d.s., Pc | |
|
4108 Windsor Spring Rd Hephzibah GA 30815-5910 | |
| (706) 793-3600 | |
| Not Available |
| Full Name | Fred M Hannan Sr, D.d.s., Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4108 Windsor Spring Rd, Hephzibah, Georgia |
| Authorized Official Name and Position | Fred M Hannan (DENTIST) |
| Authorized Official Contact | 7067933600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fred M Hannan Sr, D.d.s., Pc 4108 Windsor Spring Rd Hephzibah GA 30815-5910 Ph: () - | Fred M Hannan Sr, D.d.s., Pc 4108 Windsor Spring Rd Hephzibah GA 30815-5910 Ph: (706) 793-3600 |
| NPI Number | 1740438308 |
|---|---|
| Provider Enumeration Date | 09/08/2008 |
| Last Update Date | 09/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740438308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6539 (Georgia) | Primary |
Augusta Family Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4110 Windsor Spring Rd, Hephzibah, GA 30815 Phone: 706-287-5632 |