Individual
JARED HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
400 E 23RD ST, LAWRENCE, KS 66046-4902
(785) 843-4333
Mailing address
400 E 23RD ST, LAWRENCE, KS 66046-4902
(785) 843-4333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
62358
KS
Other
Enumeration date
08/05/2016
Last updated
07/09/2025
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