Provider Demographics
NPI:1255594750
Name:HANNE V HOLLENBECK DENTISTRY PC
Entity type:Organization
Organization Name:HANNE V HOLLENBECK DENTISTRY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HANNE
Authorized Official - Middle Name:V
Authorized Official - Last Name:HOLLENBECK
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:724-327-3080
Mailing Address - Street 1:3907 OLD WILLIAM PENN HWY
Mailing Address - Street 2:SUITE 403
Mailing Address - City:MURRYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15668-1833
Mailing Address - Country:US
Mailing Address - Phone:721-327-3080
Mailing Address - Fax:724-327-3067
Practice Address - Street 1:3907 OLD WILLIAM PENN HWY
Practice Address - Street 2:SUITE 403
Practice Address - City:MURRYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15668-1833
Practice Address - Country:US
Practice Address - Phone:721-327-3080
Practice Address - Fax:724-327-3067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-03
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS029269L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty