Provider Demographics
NPI:1659753069
Name:LEUSCHEN, HANNAH ROSE (DDS)
Entity Type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:ROSE
Last Name:LEUSCHEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:ROSE
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5541 NW 86TH ST. SUITE #200
Mailing Address - Street 2:
Mailing Address - City:JOHNSON
Mailing Address - State:IA
Mailing Address - Zip Code:50131
Mailing Address - Country:US
Mailing Address - Phone:515-276-2500
Mailing Address - Fax:319-235-6740
Practice Address - Street 1:5541 NW 86TH ST. SUITE #200
Practice Address - Street 2:
Practice Address - City:JOHNSON
Practice Address - State:IA
Practice Address - Zip Code:50131
Practice Address - Country:US
Practice Address - Phone:515-276-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-22
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA092201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice