Provider Demographics
NPI:1508922444
Name:HANA C. HOBBS, DDS, MS, PA
Entity Type:Organization
Organization Name:HANA C. HOBBS, DDS, MS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HANA
Authorized Official - Middle Name:C
Authorized Official - Last Name:HOBBS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:919-383-6611
Mailing Address - Street 1:2900 CROASDAILE DR STE 1
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-2579
Mailing Address - Country:US
Mailing Address - Phone:919-383-6611
Mailing Address - Fax:919-383-6612
Practice Address - Street 1:2900 CROASDAILE DR STE 1
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-2579
Practice Address - Country:US
Practice Address - Phone:919-383-6611
Practice Address - Fax:919-383-6612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC59841223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty