DR. BRUCE W HANSON (NPI# 1720001761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720001761 |
| Entity Type | Individual |
| Full Name | DR. BRUCE W HANSON |
| Credential | DDS |
| Practice Address |
25052 104th Ave Se Ste D Kent WA 98030-6853 |
| Practice Telephone | 2538524508 |
| Practice Fax Number | 2538599306 |
| Mailing Telephone | 2538524508 |
| Mailing Fax Number | 2538599306 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE00005013 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 5539309 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699981688 | Bruce Arthur Hanson | Surgery | 915 Wigeon Way, Arroyo Grande, CA 93420-5555 | 2007-05-15 |
| 1073605697 | Bruce R Hanson | Speech-Language Pathologist | 1104 7th Ave South, Msum Box 119, Moorhead, MN 56563-0001 | 2006-09-29 |
| 1629017827 | Bruce Lynn Hanson | Dentist | 302 E 6th St, Suite #3, Lexington, NE 68850-2172 | 2006-06-05 |
| 1396836060 | Bruce Robert Hanson | Internal Medicine | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2006-09-27 |
| 1306829387 | Bruce G Hanson | Family Medicine | 551 Hospital Rd, New Richmond, WI 54017-1449 | 2005-11-23 |
| Street Address |
25052 104TH AVE SE STE D |
| City | KENT |
| State | WA |
| Zip Code | 98030-6853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193193 | Sarah V Swan | Occupational Therapist | 12033 Se 265th St, Kent, WA 98030 | 2020-10-27 |
| 1346889250 | Kaylee Meilahn | Nurse Practitioner | 219 State Ave. N, Suite 220, Kent, WA 98030 | 2019-12-26 |
| 1508417429 | Pamela Stefansky | Technician | 25927 119th Ct Se, Kent, WA 98030 | 2019-09-23 |
| 1144703885 | Healthpoint | Clinic/Center | 219 State Ave N, Ste 100, Kent, WA 98030 | 2018-09-10 |
| 1932681921 | Johana Sanchez-vidales | Massage Therapist | 24837 104th Ave Se #100, Kent, WA 98030 | 2018-09-05 |
| 1265925309 | Linda Tomkins | Chiropractor | 12901 Se Kent-kangley Rd, Kent, WA 98030 | 2018-06-13 |
| 1952809543 | Sarah Rose Collins | Massage Therapist | 13003 Se Kent Kangley Rd Ste 110, Kent, WA 98030 | 2018-01-29 |
| 1942726815 | Alexandra B Zigmont | Physical Therapist | 12926 Se Kent Kangley Road, Kent, WA 98030 | 2017-08-22 |
| 1659801256 | Mitra Lal Dhital | Counselor | 3639 Mlk Jr Way S Seattle, Seattle, WA 98030 | 2017-06-15 |
| 1952838658 | Elizabeth Burson | Registered Nurse | 25742 104th Avenue Se, Kent, WA 98030 | 2017-05-12 |
| Find all providers in zip 98030 | ||||
| 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 |
|---|---|---|---|---|
| 1992364418 | Rashmi Malhotra Pllc | Dentist | 23914 100th Ave Se Ste 100, Kent, WA 98031-4234 | 2019-06-08 |
| 1295211977 | Daniel Antonio Zevallos Carrillo | Dentist | 444 Ramsay Way Ste 109, Kent, WA 98032-4536 | 2018-07-16 |
| 1750834883 | Dhaliwal, Dds, Pllc | Dentist | 10725 Se 256th St Ste 1, Kent, WA 98030-8285 | 2016-07-25 |
| 1366825960 | Kimberly Marie Reyes | Dentist | 10123 Se 226th Pl, Kent, WA 98031-1837 | 2015-07-01 |
| 1245628122 | Washington Dental Corporation | Dentist | 25248 Pacific Hwy S, Suite 105, Kent, WA 98032 | 2014-12-31 |
| 1063792000 | Jimin Park-reeves | Dentist | 655 W Smith St Ste 206, Kent, WA 98032 | 2011-08-22 |
| 1518111541 | Jasmine Kahlon | Dentist | 10216 Se 256th St Ste 108, Kent, WA 98030-6437 | 2008-11-04 |
| 1336338383 | William V. Genkin | Dentist | 1951 Sr 59, Kent, OH 44240 | 2007-10-16 |
| 1477761278 | Ernest Anthony Mastroianni | Dentist | 110 E Elm St, Kent, OH 44240-3822 | 2007-05-18 |
| 1316153950 | Ashok Augustine Lalli | Dentist | 26228 Pacific Hwy S, Midway Dental Center, Kent, WA 98032-6934 | 2007-05-14 |
| Find all providers in KENT | ||||
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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.