Whalio Doctors

NPI 1871663831

Thomas M Hanson DDS PA

Organisation General Practice Dentistry Buffalo, MN

Practice location

Address
1100 Highway 25 North Suite 1, Buffalo, MN 55313
Phone
(763) 682-9796
Fax
(763) 682-4821

Authorised official

Name
Thomas Mark Hanson
Title
Owner
Phone
(763) 682-9796

Registered specialties (2)

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 10610 (MN)
General Practice Dentistry
Dental Providers Taxonomy 1223G0001X Licence 11192 (MN)

Registry record

NPI
1871663831
Entity type
Organization
NPI issued
8 Nov 2006
Record last updated
8 Oct 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.