National Provider Identifier
Charles William Hannum, D.D.S.
Charles William Hannum, D.D.S. is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Fredonia, NY and a listed phone number of (716) 672-5113.
Profile Overview
- NPI
- 1326145913
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- September 17, 2006
- Last Updated
- July 08, 2007
Practice Location
- 53 Temple St
- Fredonia, NY 14063-1705
Phone: (716) 672-5113
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1326145913
- Entity Type
- Individual
- Last Name
- Hannum
- First Name
- Charles
- Middle Name
- William
- Name Prefix
- Dr.
- Credential
- D.D.S.
- Mailing Street Address
- 53 Temple St
- Mailing City
- Fredonia
- Mailing State
- NY
- Mailing ZIP Code
- 14063-1705
- Mailing Country
- US
- Mailing Phone
- (716) 672-5113
- Mailing Fax
- (716) 672-5113
- Practice Street Address
- 53 Temple St
- Practice City
- Fredonia
- Practice State
- NY
- Practice ZIP Code
- 14063-1705
- Practice Country
- US
- Practice Phone
- (716) 672-5113
- Practice Fax
- (716) 672-5113
- Enumeration Date
- September 17, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)