Scott Martin Hannaman D.D.S.

NPI 1093008005 - Dentist - 122300000X

NPI Details
NPI 1093008005
Gender Male
Enumeration Date 05/24/2011
Last Updated 05/24/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1540 COUNTRY CLUB RD
LAKE CHARLES LA, 70605-5324, US
Phone (225) 571-9137
Fax
Business Location
1540 COUNTRY CLUB RD
LAKE CHARLES LA, 70605-5324, US
Phone (225) 571-9137
Fax
Toxanomy
Taxonomy Code 122300000X
License State Louisiana
License Number 6155
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According to our database, Dr. Scott Martin Hannaman D.D.S. NPI is 1093008005, taxonomy code is 122300000X and license number is 6155, license state is located at Louisiana. Scott Martin Hannaman D.D.S. physically located at 1540 Country Club Rd, Lake Charles LA, 70605-5324. NPI Number Scott Martin Hannaman D.D.S. has the Individual type.

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1093008005 NPI number is provided on an as is basis without warranty of any kind. 1093008005 is maintained by the National Plan & Provider Enumeration System. The contents of Scott Martin Hannaman D.D.S. are for informational purposes only.