Provider Demographics
NPI:1689450579
Name:BENOIT BUCHER, HANNAH NICOLE (DDS)
Entity Type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:NICOLE
Last Name:BENOIT BUCHER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8518 PHINNEY AVE N APT 9
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-3794
Mailing Address - Country:US
Mailing Address - Phone:559-433-7121
Mailing Address - Fax:
Practice Address - Street 1:510 19TH AVE E
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-4095
Practice Address - Country:US
Practice Address - Phone:206-299-1611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-06
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA614521631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice