Individual
DR. MICHAEL RAYMOND HANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13295 RIVERS BEND BLVD, CHESTER, VA 23836-8610
(804) 530-3539
(804) 530-5617
Mailing address
12702 HOGANS ALY, CHESTER, VA 23836-2696
(804) 530-3511
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401006683
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
187470
ANTHEM
VA
01
—
812840
UNITED CONCORDIA NFS
VA
05
—
9179583
—
VA
Enumeration date
10/04/2006
Last updated
02/18/2022
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