Charles Martin Hanneman D.D.S.

NPI 1891805883 - Dentist - 1223G0001X

NPI Details
NPI 1891805883
Gender Male
Enumeration Date 08/30/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
100 MATTIE HARRIS RD
CENTERVILLE IN, 47330-1335, US
Phone (765) 855-3435
Fax (765) 855-2590
Business Location
100 MATTIE HARRIS RD
CENTERVILLE IN, 47330-1335, US
Phone (765) 855-3435
Fax (765) 855-2590
Toxanomy
Taxonomy Code 1223G0001X
License State Indiana
License Number 12007996
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According to our database, Dr. Charles Martin Hanneman D.D.S. NPI is 1891805883, taxonomy code is 1223G0001X and license number is 12007996, license state is located at Indiana. Charles Martin Hanneman D.D.S. physically located at 100 Mattie Harris Rd, Centerville IN, 47330-1335. NPI Number Charles Martin Hanneman D.D.S. has the Individual type.

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1891805883 NPI number is provided on an as is basis without warranty of any kind. 1891805883 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Martin Hanneman D.D.S. are for informational purposes only.