| Isaac Hanset, Dmd, Llc | |
|
1201 Se 223rd Ave Ste 260 Gresham OR 97030-2580 | |
| (503) 484-7013 | |
| Not Available |
| Full Name | Isaac Hanset, Dmd, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1201 Se 223rd Ave Ste 260, Gresham, Oregon |
| Authorized Official Name and Position | Isaac Leon Hanset (DOCTOR) |
| Authorized Official Contact | 5034847013 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Isaac Hanset, Dmd, Llc 7745 Cherry River Dr Las Vegas NV 89145-4918 Ph: (503) 484-7013 | Isaac Hanset, Dmd, Llc 1201 Se 223rd Ave Ste 260 Gresham OR 97030-2580 Ph: (503) 484-7013 |
| NPI Number | 1225775976 |
|---|---|
| Provider Enumeration Date | 05/15/2022 |
| Last Update Date | 05/15/2022 |
| Medicare PECOS PAC ID | 2961884770 |
|---|---|
| Medicare Enrollment ID | O20220726002709 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225775976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Isaac L Hanset |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1184223166 PECOS PAC ID: 6406238211 Enrollment ID: I20220901001040 |
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