| Dr Eric D Hanson, DDS | |
|
2820 Nw 32nd St, Newcastle, OK 73065-6576 | |
| (405) 392-4883 | |
| (405) 392-4889 |
| Full Name | Dr Eric D Hanson |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 2820 Nw 32nd St, Newcastle, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457542284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5497384-9922 (Utah) | Secondary |
| 1223G0001X | Dentist - General Practice | 6093 (Oklahoma) | Primary |
| Entity Name | Intermountain Dentures Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659652519 PECOS PAC ID: 5193156917 Enrollment ID: O20220218002461 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eric D Hanson, DDS 2820 Nw 32nd St, Newcastle, OK 73065-6576 Ph: (405) 392-4883 | Dr Eric D Hanson, DDS 2820 Nw 32nd St, Newcastle, OK 73065-6576 Ph: (405) 392-4883 |
Dr. James Edward Cox Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 501 South Main, Newcastle, OK 73065 Phone: 405-387-5858 Fax: 405-387-2034 | |
Shelbi Diane Robinett, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1117 Nw 32nd St, Newcastle, OK 73065 Phone: 405-387-9300 | |
Amy Le, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1117 Nw 32nd St, Newcastle, OK 73065 Phone: 405-233-8469 | |
Malori Mills, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1117 Nw 32nd St, Newcastle, OK 73065 Phone: 405-387-9300 | |
Dr. Christopher Goelz, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2820 Nw 32nd St, Newcastle, OK 73065 Phone: 405-362-9100 | |
Dr. Jennifer Joy Griffin, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2820 Nw 32nd St, Newcastle, OK 73065 Phone: 405-392-4883 Fax: 405-392-4883 |