Provider Demographics
NPI:1780815845
Name:JAMGHILI, HANANE (DMD)
Entity Type:Individual
Prefix:DR
First Name:HANANE
Middle Name:
Last Name:JAMGHILI
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 1:351 W. 6TH STREET, SUITE 100
Mailing Address - Street 2:US ARMY DENTAL ACTIVITY ATTN: CREDENTIALS
Mailing Address - City:FORT STEWART
Mailing Address - State:GA
Mailing Address - Zip Code:31314
Mailing Address - Country:US
Mailing Address - Phone:912-435-5826
Mailing Address - Fax:
Practice Address - Street 1:351 W. 6TH STREET
Practice Address - Street 2:SUITE 100
Practice Address - City:FORT STEWART
Practice Address - State:GA
Practice Address - Zip Code:31314-4704
Practice Address - Country:US
Practice Address - Phone:912-435-5826
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-06
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014158941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice