Provider Demographics
NPI:1558989038
Name:BARTH, HANNAH (RDH)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:BARTH
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413 N 17TH AVE
Mailing Address - Street 2:
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54401-4226
Mailing Address - Country:US
Mailing Address - Phone:715-842-4649
Mailing Address - Fax:
Practice Address - Street 1:103 W. MCMILLAN ST.
Practice Address - Street 2:SUITE 2
Practice Address - City:MARSHFIELD
Practice Address - State:WI
Practice Address - Zip Code:54449-3502
Practice Address - Country:US
Practice Address - Phone:715-842-4649
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-10
Last Update Date:2020-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist