DR. JONATHAN GRANT HANSON D.D.S. NPI 1518073402

NPI Information

NPI: 1518073402
Provider Name: DR. JONATHAN GRANT HANSON, D.D.S.
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
1400 SOUTHWEST BLVD
SUITE C
JEFFERSON CITY, MO
ZIP 65109
Phone: (573) 635-7216
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DR. Jonathan Grant Hanson, D.D.S. is an oral and maxillofacial surgery dentist in Jefferson City, MO. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Jonathan Grant Hanson, D.D.S. NPI is 1518073402. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1400 SOUTHWEST BLVD
SUITE C
JEFFERSON CITY, MO
ZIP 65109-490
Phone: (573) 635-7216
Fax: (573) 635-2646

The enumeration date for this NPI number is 8/22/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	011885	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	T70987	MEDICARE UPIN	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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