Individual provider · Type 1 NPI

John Timothy Hansford Jr., DMD

Pediatric Dentistry · Commack, NY

NPI number 1386931095 Active

Practice location

2171 Jericho Tpke
Commack, NY 11725-2937

Call (631) 486-6364 Map

Mailing address

102 Norman Ave
Brooklyn, NY 11222-2934

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X056107 (NY)
Dental Anesthesiology 1223D0004X056107 (NY)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1386931095

John Timothy Hansford Jr., DMD's National Provider Identifier is 1386931095, issued on Jul 1, 2011. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Commack, NY. The record was last updated on May 17, 2016.