Individual
DR. THOMAS WILLIAM HANNA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
106 E MISSISSIPPI AVE, RUSTON, LA 71270-4420
(318) 251-9600
Mailing address
111 NOTTAWAY RD, RUSTON, LA 71270-8707
(504) 920-9121
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6774
LA
Other
Enumeration date
06/27/2017
Last updated
05/07/2022
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