MEDICARE: DR. HANNAH GAYLE CURRY DMD

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	D14597	MN

General Provider Information

NPI Number	:	1386213924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HANNAH GAYLE CURRY DMD

Provider Business Mailing Address
First Line	:	508 RIDGEWOOD AVE APT 5
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55403-3579
Country	:	US
Telephone Number	:	931-215-3752
Fax Number	:

Provider Business Practice Location Address
First Line	:	1068 LAKE ST S STE 209
Second Line	:
City	:	FOREST LAKE
State	:	MN
Zip	:	55025-2634
Country	:	US
Telephone Number	:	651-464-2248
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2021
Last Update Date	:	06/18/2021

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