Individual provider · Type 1 NPI

Jacob Johnson Hanseen, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Glendora, CA

NPI number 1295292340 Active

Practice location

175 N Pennsylvania Ave
Glendora, CA 91741-3316

Mailing address

518 Magnolia St
Denver, CO 80220-6014

Other practice locations

  • 1820 N Perris Blvd Ste 70, Perris, CA 92571-2714 · (951) 349-4106

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X103563 (CA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1295292340

Jacob Johnson Hanseen, DMD's National Provider Identifier is 1295292340, issued on Feb 25, 2019. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Glendora, CA. The record was last updated on Feb 25, 2019.