Provider Demographics
NPI:1134414030
Name:HANNA, NAJLAA (DMD)
Entity type:Individual
Prefix:
First Name:NAJLAA
Middle Name:
Last Name:HANNA
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 1:91 HAMMOND LN
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-2050
Mailing Address - Country:US
Mailing Address - Phone:518-563-7620
Mailing Address - Fax:
Practice Address - Street 1:91 HAMMOND LN
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-2050
Practice Address - Country:US
Practice Address - Phone:518-563-7620
Practice Address - Fax:518-563-9151
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-20
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN18556381223G0001X
NY0620091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice