Individual provider · Type 1 NPI

Larissa W. Hanson, DMD

General Practice Dentistry · Port Orange, FL

NPI number 1013320142 Active

Practice location

3777 S Ridgewood Ave
Port Orange, FL 32129-3528

Mailing address

2937 S Atlantic Ave Apt 1805
Daytona Beach Shores, FL 32118-6048

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDN20640 (FL)

General Practice Dentistry: 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.

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About NPI 1013320142

Larissa W. Hanson, DMD's National Provider Identifier is 1013320142, issued on Jun 5, 2014. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Port Orange, FL. The record was last updated on Jul 21, 2014.