Provider Demographics
NPI:1831212422
Name:V.N. HANSEN DDS LTD
Entity type:Organization
Organization Name:V.N. HANSEN DDS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:V
Authorized Official - Last Name:HANSEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:775-329-0500
Mailing Address - Street 1:740 DEL MONTE LN
Mailing Address - Street 2:#1
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-7508
Mailing Address - Country:US
Mailing Address - Phone:775-329-0500
Mailing Address - Fax:776-329-4808
Practice Address - Street 1:740 DEL MONTE LN
Practice Address - Street 2:#1
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-7508
Practice Address - Country:US
Practice Address - Phone:775-329-0500
Practice Address - Fax:776-329-4808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2490122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty