Provider Demographics
NPI:1750368015
Name:HANN, WILLIAM B (DMD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:B
Last Name:HANN
Suffix:
Gender:M
Credentials:DMD
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:BAVARIA DENTAL ACTIVITY CREDENTIALS OFFICE
Mailing Address - Street 2:UNIT 26610
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09244
Mailing Address - Country:US
Mailing Address - Phone:01149931-889-7714
Mailing Address - Fax:01149931-889-7718
Practice Address - Street 1:BAVARIA DENTAL ACTIVITY CREDENTIALS OFFICE
Practice Address - Street 2:UNIT 26610
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09244
Practice Address - Country:US
Practice Address - Phone:01149931-889-7714
Practice Address - Fax:01149931-889-7718
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS022900L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice