# R.A HANNA, DDS INC.

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

## Provider details

- **NPI number:** 1245805720
- **Authorized official:** CAROL L SIMMS (OFFICE MANAGER)
- **Authorized official phone:** (304) 965-2340

## Contact information

- **Practice address:** 708 VIAND ST, POINT PLEASANT, WV 25550-1237
- **Practice address phone:** (304) 675-5600
- **Practice address fax:** (304) 675-6484
- **Mailing address:** 708 VIAND ST, POINT PLEASANT, WV 25550-1237
- **Mailing address phone:** (304) 675-5600
- **Mailing address fax:** (304) 675-6484

## Taxonomy

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

## Other

- **Enumeration date:** 05/26/2021
- **Last updated:** 05/04/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1962578690 | — | OH |
| 05 | — | 1962578690 | — | WV |