Provider Demographics
NPI:1033260286
Name:HANNAPEL, ERIC D (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:D
Last Name:HANNAPEL
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9041 N RODGERS CT SE
Mailing Address - Street 2:
Mailing Address - City:CALEDONIA
Mailing Address - State:MI
Mailing Address - Zip Code:49316-7660
Mailing Address - Country:US
Mailing Address - Phone:616-891-7272
Mailing Address - Fax:616-891-2306
Practice Address - Street 1:9041 N RODGERS CT SE
Practice Address - Street 2:
Practice Address - City:CALEDONIA
Practice Address - State:MI
Practice Address - Zip Code:49316-7660
Practice Address - Country:US
Practice Address - Phone:616-891-7272
Practice Address - Fax:616-891-2306
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI160761223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics