| Michael R Hanley Dds | |
|
13295 Rivers Bend Blvd Chester VA 23836-8610 | |
| (804) 530-3539 | |
| (804) 530-5617 |
| Full Name | Michael R Hanley Dds |
|---|---|
| Speciality | Dentist |
| Location | 13295 Rivers Bend Blvd, Chester, Virginia |
| Authorized Official Name and Position | Michael Raymond Hanley (DENTIST OWNER) |
| Authorized Official Contact | 8045303539 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael R Hanley Dds 13295 Rivers Bend Blvd Chester VA 23836-8610 Ph: (804) 530-3539 | Michael R Hanley Dds 13295 Rivers Bend Blvd Chester VA 23836-8610 Ph: (804) 530-3539 |
| NPI Number | 1558716282 |
|---|---|
| Provider Enumeration Date | 05/02/2016 |
| Last Update Date | 01/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558716282 | NPI | - | NPPES |
| 9179583 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401006683 (Virginia) | Primary |
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