# HANSEN FAMILY DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114045937
- **Authorized official:** JAMES R HANSEN DMD (OWNER)
- **Authorized official phone:** (509) 547-9951

## Contact information

- **Practice address:** 6615 W ARGENT RD, PASCO, WA 99301-1905
- **Practice address phone:** (509) 547-9951
- **Practice address fax:** (509) 547-3008
- **Mailing address:** 6615 W ARGENT RD, PASCO, WA 99301-1905
- **Mailing address phone:** (509) 547-9951
- **Mailing address fax:** (509) 547-3008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 10263 | WA | Yes |

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 05/14/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5052253 | — | WA |