Organization
HANNON ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN JOSEPH HANNON II DDS, MS (DOCTOR/OWNER)
(704) 865-8521
Entity
Organization
Contact information
Practice address
525 S NEW HOPE RD, GASTONIA, NC 28054-4040
(704) 865-8521
Mailing address
525 S NEW HOPE RD, GASTONIA, NC 28054-4040
(704) 865-8521
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4351
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8993533
—
NC
Enumeration date
09/12/2011
Last updated
09/12/2011
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