Provider Demographics
NPI:1154442168
Name:MARY ANN HANLON INC
Entity Type:Organization
Organization Name:MARY ANN HANLON INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PERIODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HANLON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MS
Authorized Official - Phone:513-662-4867
Mailing Address - Street 1:5213 N BEND RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45247-8025
Mailing Address - Country:US
Mailing Address - Phone:513-662-4867
Mailing Address - Fax:513-662-3070
Practice Address - Street 1:5213 N BEND RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45247-8025
Practice Address - Country:US
Practice Address - Phone:513-662-4867
Practice Address - Fax:513-662-3070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300192651223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty