DR. OTTO JULIUS HANSSEN D.D.S. NPI 1043365935

NPI Information

  • NPI: 1043365935
  • Provider Name: DR. OTTO JULIUS HANSSEN, D.D.S.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 21515 STATE ROUTE 410 E
    SUITE A
    BONNEY LAKE, WA
    ZIP 98391
  • Phone: (253) 826-9000

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NPI Details

DR. Otto Julius Hanssen, D.D.S. is a general practice dentist in Bonney Lake, WA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Otto Julius Hanssen, D.D.S. NPI is 1043365935. 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:

21515 STATE ROUTE 410 E
SUITE A
BONNEY LAKE, WA
ZIP 98391-100
Phone: (253) 826-9000
Fax: (253) 826-0328

The NPI 1043365935 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 1/24/2007 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
11223G0001XDentistGeneral PracticeDE00005262WASHINGTONYes

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: 11/21/2025

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