MEDICARE: SPRING HILL FAMILY DENTAL HEALTH CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	5394	FL

General Provider Information

NPI Number	:	1063547875
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPRING HILL FAMILY DENTAL HEALTH CENTER

Provider Business Mailing Address
First Line	:	4270 LAKE IN THE WOODS DR
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34607-2501
Country	:	US
Telephone Number	:	352-596-1561
Fax Number	:	352-596-8407

Provider Business Practice Location Address
First Line	:	4270 LAKE IN THE WOODS DR
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34607-2501
Country	:	US
Telephone Number	:	352-596-1561
Fax Number	:	352-596-8407

Authorized Official
Title or Position	:	OWNER DENTIST
Name	:	DR. DANIEL A HAUS
Credential	:	DDS PA
Telephone Number	:	352-596-1561

Provider Enumeration Date	:	02/22/2007
Last Update Date	:	06/18/2008

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