Provider Demographics
NPI:1598839276
Name:HANSON FAMILY DENTAL, PC
Entity Type:Organization
Organization Name:HANSON FAMILY DENTAL, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:AUBERT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:781-294-8022
Mailing Address - Street 1:604 COUNTY RD
Mailing Address - Street 2:P.O. BOX 449
Mailing Address - City:HANSON
Mailing Address - State:MA
Mailing Address - Zip Code:02341-1668
Mailing Address - Country:US
Mailing Address - Phone:781-294-8022
Mailing Address - Fax:781-294-8224
Practice Address - Street 1:604 COUNTY RD
Practice Address - Street 2:BOX 449
Practice Address - City:HANSON
Practice Address - State:MA
Practice Address - Zip Code:02341-1668
Practice Address - Country:US
Practice Address - Phone:781-294-8022
Practice Address - Fax:781-294-8224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA141931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty