Provider Demographics
NPI:1245596279
Name:BAYRAKTAROGLU, HANIFE CANAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:HANIFE
Middle Name:CANAN
Last Name:BAYRAKTAROGLU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:245W SH 114
Mailing Address - Street 2:SUITE 130
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092
Mailing Address - Country:US
Mailing Address - Phone:737-747-2221
Mailing Address - Fax:
Practice Address - Street 1:245W SH 114
Practice Address - Street 2:SUITE 130
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-7609
Practice Address - Country:US
Practice Address - Phone:737-747-2221
Practice Address - Fax:737-273-8762
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-04
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX310941223P0700X, 1223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics