| Hanne Dental, Inc. | |
|
6655 Edwardsville Crossing Dr Ste D Edwardsville IL 62025-2708 | |
| (618) 972-8655 | |
| (618) 656-9701 |
| Full Name | Hanne Dental, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 6655 Edwardsville Crossing Dr Ste D, Edwardsville, Illinois |
| Authorized Official Name and Position | Sharon Hanne (OWNER) |
| Authorized Official Contact | 6189728655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hanne Dental, Inc. 6655 Edwardsville Crossing Dr Ste D Edwardsville IL 62025-2708 Ph: (618) 972-8655 | Hanne Dental, Inc. 6655 Edwardsville Crossing Dr Ste D Edwardsville IL 62025-2708 Ph: (618) 972-8655 |
| NPI Number | 1972027878 |
|---|---|
| Provider Enumeration Date | 08/01/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972027878 | NPI | - | NPPES |
| 403393918 | Medicaid | MO |
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