Individual provider · Type 1 NPI
Gentry Michael Hansen, DMD, MD
Oral and Maxillofacial Surgery (Dentist) · Sioux City, IA
NPI number
1235497975
Active
Practice location
5828 Sunnybrook Dr
Sioux City, IA 51106-4253
Fax (712) 823-9008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | D1197 (SD) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 09513 (IA) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 45169 (IA) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 11002 (SD) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 32567 (TX) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Other oral and maxillofacial surgery (dentist) providers in Sioux City
About NPI 1235497975
Gentry Michael Hansen, DMD, MD's National Provider Identifier is 1235497975, issued on May 1, 2012. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Sioux City, IA. The record was last updated on Mar 7, 2024.