Individual
DR. JOSHUA MICHAEL HANENKRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MPH
Contact information
Practice address
4510 E BANNER GATEWAY DR APT 3076, MESA, AZ 85206-4760
(419) 343-7515
Mailing address
4510 E BANNER GATEWAY DR APT 3076, MESA, AZ 85206-4760
(419) 343-7515
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D012304
AZ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D012304
AZ
Other
Enumeration date
01/02/2025
Last updated
04/27/2026
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