Provider Demographics
NPI:1740092410
Name:ROBERTS, HANNAH MARIE (BSDH, RDH)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:MARIE
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:BSDH, RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5268 SNOW GOOSE ST
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-5344
Mailing Address - Country:US
Mailing Address - Phone:720-339-8671
Mailing Address - Fax:
Practice Address - Street 1:14981 WILLIAMS ST
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80602-7393
Practice Address - Country:US
Practice Address - Phone:303-981-2835
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist