NPI 1053897637

Hannah Noel Despain, DMD

Practitioner Dentist Tuba City, AZ

Practice location

Address: 167 Main Street, Tuba City, AZ 86045
Phone: (502) 851-2734
Mailing address: 1906 Gladstone Ave, Louisville, KY 40205-2516

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 10164 (KY)

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Registry record

NPI: 1053897637
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jul 2018
Record last updated: 17 Jul 2018

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.