Individual
CRYSTAL SMITH HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2122 S HICKORY ST, LOXLEY, AL 36551-4648
(251) 964-2671
Mailing address
2122 S HICKORY ST, LOXLEY, AL 36551-4648
(251) 964-2671
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D.007203-C1
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2023
Last updated
07/22/2026
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