Provider Demographics
NPI:1700081916
Name:GLENN C HANF DMD PC
Entity Type:Organization
Organization Name:GLENN C HANF DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:C
Authorized Official - Last Name:HANF
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:480-585-4244
Mailing Address - Street 1:10401 E MCDOWELL MOUNTAIN RANCH RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-8698
Mailing Address - Country:US
Mailing Address - Phone:480-858-4244
Mailing Address - Fax:480-513-4166
Practice Address - Street 1:10401 E MCDOWELL MOUNTAIN RANCH RD
Practice Address - Street 2:SUITE 4
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-8698
Practice Address - Country:US
Practice Address - Phone:480-858-4244
Practice Address - Fax:480-513-4166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4507261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental