Provider Demographics
NPI:1134282007
Name:HANCHIN, JOHANNA (DDS)
Entity Type:Individual
Prefix:
First Name:JOHANNA
Middle Name:
Last Name:HANCHIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3189
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13220-3189
Mailing Address - Country:US
Mailing Address - Phone:315-454-6000
Mailing Address - Fax:315-454-8650
Practice Address - Street 1:3515 HUDSON DR
Practice Address - Street 2:SUITE 100
Practice Address - City:STOW
Practice Address - State:OH
Practice Address - Zip Code:44224-2906
Practice Address - Country:US
Practice Address - Phone:330-928-7674
Practice Address - Fax:330-928-1884
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-021877122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist