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NPI Code Detail

MEDICARE: HANNADMD.PLLC

MEDICARE: HANNADMD.PLLC
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 Dentistry

General Provider Information

NPI Number : 1750235222
Entity Type Code : Organization
Provider Name (Legal Business Name) : HANNADMD.PLLC
Provider Business Mailing Address
First Line : 6053 ROCHESTER RD
Second Line :
City : TROY
State : MI
Zip : 48085-1303
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6053 ROCHESTER RD
Second Line :
City : TROY
State : MI
Zip : 48085-1303
Country : US
Telephone Number : 248-879-5858
Fax Number :
Authorized Official
Title or Position : DMD
Name : SAIF G HANNA
Credential :
Telephone Number : 774-256-1091
Provider Enumeration Date : 02/23/2026
Last Update Date : 02/23/2026

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