# DR. NEIL A. HANSEN, DDS

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

## Provider details

- **NPI number:** 1215242219
- **Authorized official:** NEIL HANSEN (DENTIST)
- **Authorized official phone:** (425) 455-0442

## Contact information

- **Practice address:** 12330 NE 8TH ST, SUITE 200, BELLEVUE, WA 98005
- **Practice address phone:** (425) 455-0442
- **Mailing address:** 12330 NE 8TH ST, SUITE 200, BELLEVUE, WA 98005-3187
- **Mailing address phone:** (425) 455-0442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5576 | WA | Yes |

## Other

- **Enumeration date:** 08/13/2010
- **Last updated:** 08/13/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1689783623 | DENTIST | — |