Organization
HANNAHAN ENDODONTIC GROUP
Active
Parent organization
HANNAHAN ENDODONTIC GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
HANNAHAN ENDODONTIC GROUP
Authorized official
CINDY NORDEN (OFFICE MANAGER)
(251) 342-1002
Entity
Organization
Contact information
Practice address
3602B OLD SHELL RD, MOBILE, AL 36608-1307
(251) 342-1002
(251) 342-1058
Mailing address
3602B OLD SHELL RD, MOBILE, AL 36608-1307
(251) 342-1002
(251) 342-1058
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51091426
BLUE CROSS BLUE SHIELD OF ALABAMA
AL
01
—
855939
UNITED CONCORDIA
—
Enumeration date
03/13/2019
Last updated
03/13/2019
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