Individual
DAVID L. HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1090 W HOUGHTON LAKE DR, PRUDENVILLE, MI 48651-9613
(989) 366-8643
(989) 366-9525
Mailing address
1090 W HOUGHTON LAKE DR, PRUDENVILLE, MI 48651-9613
(989) 366-8643
(989) 366-9525
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13648
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13648
LICENSE NUMBER
MI
01
—
136480
BCBS
MI
Enumeration date
06/28/2007
Last updated
08/07/2008
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