Provider Demographics
NPI:1821614793
Name:TURNER, HANNAH RACHEL
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:RACHEL
Last Name:TURNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5311 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-7202
Mailing Address - Country:US
Mailing Address - Phone:515-664-7017
Mailing Address - Fax:
Practice Address - Street 1:1225 COPPER CREEK DR STE K
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:IA
Practice Address - Zip Code:50327-7091
Practice Address - Country:US
Practice Address - Phone:515-650-5531
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-17
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IADDS-09765122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist