Individual
CHAD KEVIN HANNIBAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1013 SPRING LN, SANFORD, NC 27330-3459
(919) 718-5561
Mailing address
1013 SPRING LN, SANFORD, NC 27330-3459
(919) 718-5561
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
13221
NC
Other
Enumeration date
05/06/2021
Last updated
09/03/2025
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