Individual
LARRY JAY HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
BLDG 38717 38TH STREET, USA DENTAC, FORT GORDON, GA 30905-5660
(706) 787-6927
(706) 787-2082
Mailing address
BLDG 38717 38TH STREET, USA DENTAC, FORT GORDON, GA 30905-5660
(706) 787-6927
(706) 787-2082
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
06671
IA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
06671
IA
Other
Enumeration date
11/14/2005
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us