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NPI Code Detail

MEDICARE: DR. DAN L HANSEN DDS

MEDICARE:  DR. DAN L HANSEN  DDS
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
11223G0001XGeneral Practice Dentistry3178CO

General Provider Information

NPI Number : 1497754063
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAN L HANSEN DDS
Provider Business Mailing Address
First Line : 3333 S WADSWORTH BLVD
Second Line : D-305
City : LAKEWOOD
State : CO
Zip : 80227-5122
Country : US
Telephone Number : 303-985-1615
Fax Number : 303-985-1617
Provider Business Practice Location Address
First Line : 3333 S WADSWORTH BLVD
Second Line : D-305
City : LAKEWOOD
State : CO
Zip : 80227-5122
Country : US
Telephone Number : 303-985-1615
Fax Number : 303-985-1617
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2005
Last Update Date : 04/09/2008

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Directions to “ DR. DAN L HANSEN DDS” Practice Location

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