NPI 1720138852

Charles Walden Hanna, DMD

Practitioner Dentist Batesburg Leesville, SC

Practice location

Address: 121 North Pine Street, Batesburg Leesville, SC 29006
Phone: (803) 532-6146
Fax: (803) 532-5807
Mailing address: PO Box 2409 121 North Pine Street, Batesburg Leesville, SC 29070-0409

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 1631 (SC)

Other Dentist providers in South Carolina →

Registry record

NPI: 1720138852
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jan 2007
Record last updated: 8 Jul 2007

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.