| Douglas W Hanneman Dds Pc | |
|
118 East 4th Street Vinton IA 52349-1757 | |
| (319) 472-5209 | |
| Not Available |
| Full Name | Douglas W Hanneman Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 118 East 4th Street, Vinton, Iowa |
| Authorized Official Name and Position | Douglas William Hanneman (PRESIDENT) |
| Authorized Official Contact | 3194725209 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas W Hanneman Dds Pc 118 East 4th Street Vinton IA 52349-1757 Ph: (319) 472-5209 | Douglas W Hanneman Dds Pc 118 East 4th Street Vinton IA 52349-1757 Ph: (319) 472-5209 |
| NPI Number | 1215091830 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215091830 | NPI | - | NPPES |
| 0153247 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6311 (Iowa) | Primary |
Sara E Stuefen. Dds. Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 E 4th St, Vinton, IA 52349 Phone: 319-472-3282 Fax: 319-214-2478 |