Organization
JOHN T. HANSFORD JR. DMD BOARD CERTIFIED PEDIATRIC DENTAL SPECIALIST P
Active
Other names
Greenpoint Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN T. HANSFORD JR. DMD (OWNER)
(929) 324-1140
Entity
Organization
Contact information
Practice address
102 NORMAN AVE, BROOKLYN, NY 11222-2934
(929) 324-1140
(929) 529-6117
Mailing address
102 NORMAN AVE, BROOKLYN, NY 11222-2934
(929) 324-1140
(929) 529-6117
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03583135
—
NY
Enumeration date
09/14/2018
Last updated
09/14/2018
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