Organization
CHARLES A. HANBY DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES ALBERT HANBY DDS (PRESIDENT)
(479) 751-8631
Entity
Organization
Contact information
Practice address
2707 W HUNTSVILLE AVE, SPRINGDALE, AR 72762-7723
(479) 756-8631
(479) 751-7892
Mailing address
2707 W HUNTSVILLE AVE, SPRINGDALE, AR 72762-7723
(479) 756-8631
(479) 751-7892
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
621
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1303179
UNITED CONCORDIA
—
01
—
2082
DELTA DENTAL
—
01
—
58250
BCBS
—
Enumeration date
10/07/2006
Last updated
08/22/2020
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