National Provider Identifier

Nathan Hanson

Nathan Hanson is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Buffalo, NY and a listed phone number of (716) 834-9200.

NPI 1326573122Buffalo, NYGeneral Practice Dentistry

Profile Overview

NPI
1326573122
Provider Type
Individual
Primary Specialty
General Practice Dentistry
Enumeration Date
April 29, 2017
Last Updated
July 13, 2018

Practice Location

  • 3495 Bailey Ave
  • Buffalo, NY 14215

Phone: (716) 834-9200

Mailing Address

  • 3495 Bailey Ave
  • Buffalo, NY 14215-1129

Specialties

  • General Practice Dentistry (1223G0001X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1326573122
Entity Type
Individual
Last Name
Hanson
First Name
Nathan
Mailing Street Address
3495 Bailey Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215-1129
Mailing Country
US
Mailing Phone
(716) 834-9200
Practice Street Address
3495 Bailey Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215
Practice Country
US
Practice Phone
(716) 834-9200
Enumeration Date
April 29, 2017
Last Updated
July 13, 2018
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Dentistry (1223G0001X), Student in an Organized Health Care Education/Training Program (390200000X)