Provider Demographics
NPI:1831642644
Name:RANA HANNA DMD, PC
Entity type:Organization
Organization Name:RANA HANNA DMD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RANA
Authorized Official - Middle Name:T
Authorized Official - Last Name:HANNA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:774-345-0835
Mailing Address - Street 1:34514 DEQUINDRE RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-5232
Mailing Address - Country:US
Mailing Address - Phone:586-981-0199
Mailing Address - Fax:586-981-0188
Practice Address - Street 1:34514 DEQUINDRE RD
Practice Address - Street 2:SUITE B
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-5232
Practice Address - Country:US
Practice Address - Phone:586-981-0199
Practice Address - Fax:586-981-0188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-27
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010216881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty