Healthcare Provider Details

I. General information

NPI: 1598458556
Provider Name (Legal Business Name): HANNAH MORTON FOREMAN DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2023
Last Update Date: 07/06/2025
Certification Date: 07/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8301 HIGHWAY 31 N STE 109
MORRIS AL
35116-1305
US

IV. Provider business mailing address

4286 HATHAWAY LN
MOUNT OLIVE AL
35117-3452
US

V. Phone/Fax

Practice location:
  • Phone: 205-647-2050
  • Fax:
Mailing address:
  • Phone: 256-590-7279
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberD.007510-C1
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: