Provider Demographics
NPI:1275161861
Name:BENN-DAVIS, HANNAH (DMD)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:BENN-DAVIS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 LAFAYETTE AVE
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:07928-2061
Mailing Address - Country:US
Mailing Address - Phone:908-868-8965
Mailing Address - Fax:
Practice Address - Street 1:108 N UNION AVE STE 1
Practice Address - Street 2:
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016-2194
Practice Address - Country:US
Practice Address - Phone:908-224-2233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-30
Last Update Date:2023-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI028183001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice