| Scott M Hannaman Dds Llc | |
|
1540 Country Club Rd Lake Charles LA 70605-5324 | |
| (337) 474-4892 | |
| Not Available |
| Full Name | Scott M Hannaman Dds Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1540 Country Club Rd, Lake Charles, Louisiana |
| Authorized Official Name and Position | Scott Martin Hannaman (OWNER) |
| Authorized Official Contact | 3374744892 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott M Hannaman Dds Llc 1540 Country Club Rd Lake Charles LA 70605-5324 Ph: (337) 474-4892 | Scott M Hannaman Dds Llc 1540 Country Club Rd Lake Charles LA 70605-5324 Ph: (337) 474-4892 |
| NPI Number | 1396102174 |
|---|---|
| Provider Enumeration Date | 01/25/2016 |
| Last Update Date | 01/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396102174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6155 (Louisiana) | Primary |
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