DR. LABRUCE MORTIMER HANAHAN JR. (NPI# 1609964709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609964709 |
| Entity Type | Individual |
| Full Name | DR. LABRUCE MORTIMER HANAHAN JR. |
| Credential | DMD |
| Practice Address |
1817 W Main St Suite 2 Dothan AL 36301 |
| Practice Telephone | 3347924630 |
| Practice Fax Number | 3347120190 |
| Mailing Telephone | 3347924630 |
| Mailing Fax Number | 3347120190 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2011-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2226 | AL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | AH0459138 | 05 | |
| AL | 000093048 | 05 |
| Street Address |
1817 W MAIN ST SUITE 2 |
| City | DOTHAN |
| State | AL |
| Zip Code | 36301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396833414 | Benjamin James Field | Dentist | 1817 W Main St, Suite 2, Dothan, AL 36301 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043862931 | Pharmacy Center South LLC | Pharmacy | 2826 Ross Clark Circle, Suite 103, Dothan, AL 36301 | 2019-07-11 |
| 1851879167 | Attallah Cotton | Social Worker | 101 Eastridge Dr, Dothan, AL 36301 | 2018-07-31 |
| 1225522709 | Nichole Johnson Prestwood | Nurse Practitioner | 2431 W Main St Ste 501, Dothan, AL 36301 | 2018-06-19 |
| 1750805818 | Kimberly Danielle Austin | Speech-Language Pathologist | 404 Darlington Cir, Dothan, AL 36301 | 2017-07-31 |
| 1952794885 | Lori P. Granberry | Pharmacist | 2131 Ross Clark Circle, Dothan, AL 36301 | 2015-03-17 |
| 1801286059 | Robert Cody Russell | Nurse Practitioner | 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 | 2015-01-27 |
| 1720407646 | Michael Kreger | Anesthesiology | 1118 Ross Clark Cir Ste 700, Dothan, AL 36301 | 2014-04-08 |
| 1063851277 | Carlos Stanford Clark II | Family Medicine | 201 Doctors Drive, Dothan, AL 36301 | 2013-06-20 |
| 1639489313 | Robert Fort Hambaugh Jr. | Specialist | 712 Woodland Drive, Dothan, AL 36301 | 2010-10-15 |
| 1588894976 | Atwill Lamar Miller Jr. | Urology | 1908 Fairview Avenue, Dothan, AL 36301 | 2009-07-20 |
| Find all providers in zip 36301 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245868827 | Alpha Dental | Dentist | 1865 E. Main St. Suite #2, Dothan, AL 36301-3630 | 2020-03-30 |
| 1194205740 | Emblom & Vaughn, D.m.d., PC | Dentist | 318 Healthwest Dr., Dothan, AL 36303 | 2018-08-14 |
| 1215323803 | C. Douglas Smith, D.m.d.,llc | Dentist | 1609 W Main St Ste 202, Dothan, AL 36301-1359 | 2015-04-09 |
| 1346649472 | Rajiv Tuladhar | Dentist | 3400 Montgomery Hwy, Dothan, AL 36303-2111 | 2014-08-14 |
| 1235554809 | Moulthrop&parker Dmd PC | Dentist | 2431 W Main St Ste 601, Dothan, AL 36301-1270 | 2014-02-19 |
| 1194088385 | Comfort Dental of Dothan LLC | Dentist | 4440 W Main St Ste 2, Dothan, AL 36305-1186 | 2012-06-21 |
| 1558544544 | Healthwest Dental Associates PC | Dentist | 502 Healthwest Drive, Dothan, AL 36303 | 2007-12-12 |
| 1194858464 | William Rhone Parrish | Dentist | 1389 W Main St Ste 1, Dothan, AL 36301-1309 | 2007-03-14 |
| 1295833705 | Nancy M Hein | Dentist | 102 Professional Ln, Dothan, AL 36303-3874 | 2006-09-20 |
| 1083716799 | Michelle N Griffith | Dentist | 5412 Montgomery Hwy, Suite 3-8, Dothan, AL 36303 | 2006-09-02 |
| Find all providers in DOTHAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.