Individual provider · Type 1 NPI

Spencer Mack Hansen

Orthodontics and Dentofacial Orthopedics Dentistry · Longview, TX

NPI number 1336505635 Active

Practice location

1405 Judson Rd
Longview, TX 75601-3918

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	30007 (TX)

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 1336505635

Spencer Mack Hansen's National Provider Identifier is 1336505635, issued on Jan 4, 2016. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Longview, TX. The record was last updated on Oct 24, 2022.