Individual
DR. JEREMY JOSEPH HANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
200 W BEAVER AVE STE 100, STATE COLLEGE, PA 16801-4820
(800) 446-5680
Mailing address
200 W BEAVER AVE STE 100, STATE COLLEGE, PA 16801-4820
(800) 446-5680
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DS039115
PA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS039115
PA
Other
Enumeration date
07/17/2012
Last updated
08/11/2023
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