Organization
GEORGE E. HANNA, JR DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE E HANNA JR. DDS (OWNER)
(336) 292-1990
Entity
Organization
Contact information
Practice address
612 PASTEUR DR, SUITE 101, GREENSBORO, NC 27403-1149
(336) 292-1990
(336) 292-4738
Mailing address
612 PASTEUR DRIVE, SUITE 101, GREENSBORO, NC 27403
(336) 292-1990
(336) 292-4738
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5015
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
465623
UNITED CONCORDIA
NC
05
—
8993545
—
NC
Enumeration date
05/31/2007
Last updated
06/19/2012
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