Provider Demographics
NPI:1518002690
Name:HOLLENBECK, HANNE V (DMD)
Entity Type:Individual
Prefix:
First Name:HANNE
Middle Name:V
Last Name:HOLLENBECK
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 1:3907 OLD WILLIAM PENN HWY
Mailing Address - Street 2:
Mailing Address - City:MURRYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15668
Mailing Address - Country:US
Mailing Address - Phone:724-327-3080
Mailing Address - Fax:724-327-3067
Practice Address - Street 1:3907 OLD WILLIAM PENN HWY
Practice Address - Street 2:SUITE 403
Practice Address - City:MURRYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15668-1833
Practice Address - Country:US
Practice Address - Phone:724-327-3080
Practice Address - Fax:724-327-3067
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA05029269L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice