| Hanson Place Dental Associates Llp | |
|
4 Metrotech Center Lobby Brooklyn NY 11201 | |
| (718) 403-0700 | |
| (718) 403-0441 |
| Full Name | Hanson Place Dental Associates Llp |
|---|---|
| Speciality | Dentist |
| Location | 4 Metrotech Center, Brooklyn, New York |
| Authorized Official Name and Position | Richard Giddon (PARTNER) |
| Authorized Official Contact | 7184030447 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hanson Place Dental Associates Llp 4 Metrotech Center Lobby Brooklyn NY 11201 Ph: (718) 403-0700 | Hanson Place Dental Associates Llp 4 Metrotech Center Lobby Brooklyn NY 11201 Ph: (718) 403-0700 |
| NPI Number | 1811059728 |
|---|---|
| Provider Enumeration Date | 12/15/2006 |
| Last Update Date | 12/13/2011 |
| Medicare PECOS PAC ID | 5395040398 |
|---|---|
| Medicare Enrollment ID | O20160301000714 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811059728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| Provider Name | Richard Giddon |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1295796779 PECOS PAC ID: 8729383724 Enrollment ID: I20160301000927 |
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