Provider Demographics
NPI:1386671170
Name:HANSEN, ARTHUR STANLEY (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:STANLEY
Last Name:HANSEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1329 MCGRATH RD
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99712-1277
Mailing Address - Country:US
Mailing Address - Phone:907-457-4638
Mailing Address - Fax:907-457-2889
Practice Address - Street 1:1329 MCGRATH RD
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99712-1277
Practice Address - Country:US
Practice Address - Phone:907-457-4638
Practice Address - Fax:907-457-2889
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK2911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice