MEDICARE: DR. ARTHUR FREDERICK HANNIGAN JR. D.M.D.

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	13258	MA

General Provider Information

NPI Number	:	1578678843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARTHUR FREDERICK HANNIGAN JR. D.M.D.

Provider Business Mailing Address
First Line	:	81 OLD COLONY WAY
Second Line	:
City	:	ORLEANS
State	:	MA
Zip	:	02653-3278
Country	:	US
Telephone Number	:	508-255-4312
Fax Number	:	508-240-0158

Provider Business Practice Location Address
First Line	:	81 OLD COLONY WAY
Second Line	:
City	:	ORLEANS
State	:	MA
Zip	:	02653-3278
Country	:	US
Telephone Number	:	508-255-4312
Fax Number	:	508-240-0158

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

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	09/09/2008

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