Provider Demographics
NPI:1306717111
Name:ROBERT N HANSON DDS PC
Entity type:Organization
Organization Name:ROBERT N HANSON DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:BLUM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:816-373-5606
Mailing Address - Street 1:3151 S STATE ROUTE 291
Mailing Address - Street 2:SUITE A
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64057
Mailing Address - Country:US
Mailing Address - Phone:816-373-5606
Mailing Address - Fax:816-373-7042
Practice Address - Street 1:3151 S STATE ROUTE 291
Practice Address - Street 2:SUITE A
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64057
Practice Address - Country:US
Practice Address - Phone:816-373-5606
Practice Address - Fax:816-373-7042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty