David L Hanson, DDS is a
Dentist - General Practice based in Prudenville, Michigan. David L Hanson is licensed to practice in Michigan (license number 13648) and his current practice location is
1090 W Houghton Lake Dr, Prudenville, Michigan. He can be reached at his office (for appointments etc.) via phone at
(989) 366-8643.
NPI number for David L Hanson is 1366649980 and his current mailing address is 1090 W Houghton Lake Dr, Prudenville, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366649980.
Healthcare Provider's Profile
| Full Name | David L Hanson |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - General Practice |
|---|
| Location | 1090 W Houghton Lake Dr, Prudenville, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366649980
- Provider Enumeration Date: 06/28/2007
- Last Update Date: 08/07/2008
Medical Identifiers
Medical identifiers for David L Hanson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1366649980 | NPI | - | NPPES |
| 13648 | Other | MI | LICENSE NUMBER |
| 136480 | Other | MI | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1223G0001X | Dentist - General Practice | 13648 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David L Hanson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
David L Hanson, DDS 1090 W Houghton Lake Dr, Prudenville, MI 48651-9613 Ph: (989) 366-8643 | David L Hanson, DDS 1090 W Houghton Lake Dr, Prudenville, MI 48651-9613 Ph: (989) 366-8643 |
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