Provider Demographics
NPI:1467570887
Name:HANSARD, RICHARD FRANKLIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:FRANKLIN
Last Name:HANSARD
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:PO BOX 127
Mailing Address - Street 2:
Mailing Address - City:VALLEY MILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76689-0127
Mailing Address - Country:US
Mailing Address - Phone:254-932-6404
Mailing Address - Fax:254-932-6404
Practice Address - Street 1:701 AVE C
Practice Address - Street 2:
Practice Address - City:VALLEY MILLS
Practice Address - State:TX
Practice Address - Zip Code:76689
Practice Address - Country:US
Practice Address - Phone:254-932-6404
Practice Address - Fax:254-932-6404
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX186581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice