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NPI Code Detail

MEDICARE: DR. HANNAH CABE DDS

MEDICARE: DR. HANNAH CABE 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
1122300000XDentist4530AR

General Provider Information

NPI Number : 1639741721
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HANNAH CABE DDS
Provider Business Mailing Address
First Line : 9000 ROGERS AVE
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-5249
Country : US
Telephone Number : 479-452-8193
Fax Number :
Provider Business Practice Location Address
First Line : 9000 ROGERS AVE
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-5249
Country : US
Telephone Number : 479-452-8193
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2021
Last Update Date : 07/16/2021

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