Organization
CHILDREN'S DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE A HANKERSON DDS (DENTIST)
(952) 997-7100
Entity
Organization
Contact information
Practice address
7629 EGAN DR, SAVAGE, MN 55378-2208
(952) 440-5100
(952) 440-5140
Mailing address
7629 EGAN DR, SAVAGE, MN 55378-2208
(952) 440-5100
(952) 400-5140
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5460717
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004717100
NIP
MN
01
—
858815500
IPN
MN
Enumeration date
07/15/2006
Last updated
05/29/2009
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