Individual
DR. HIKMAT GABRIEL HANNAWI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
550 N MAIN ST, SUITE #1, ATTLEBORO, MA 02703-1735
(508) 222-2510
(508) 222-3903
Mailing address
550 N MAIN ST, SUITE # 1, ATTLEBORO, MA 02703-1735
(508) 222-2510
(508) 222-3903
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19763
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0299961
—
MA
01
—
AETNA PPO
043539003
MA
01
—
ALTUS DENTAL
19763
MA
01
—
BCBS OF MASS
HAX 11292
MA
01
—
BCBS OF RI
MOOOX11292
MA
01
—
BCBS PPO
V05219
MA
01
—
CIGNA PPO
19763
MA
01
—
DELTA DENTAL OF MASS
19763
MA
01
—
DHA
89461
MA
01
—
GUARDIAN
043539003
MA
01
—
METLIFE
19763
MA
01
—
NUICARE
19763
MA
Enumeration date
02/21/2007
Last updated
03/19/2009
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