Individual provider · Type 1 NPI
Jonathan Grant Hanson, DDS
Oral and Maxillofacial Surgery (Dentist) · Jefferson City, MO
NPI number
1518073402
Active
Practice location
1400 Southwest Blvd, Suite C
Jefferson City, MO 65109-2490
Fax (573) 635-2646
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 011885 (MO) |
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.
4 other providers at this address
- Jefferson City Oral and Maxillofacial Surgery, LLCOral and Maxillofacial Surgery (Dentist) Jefferson City, MO NPI 1760599732
- John L. Whipple Jr., DDSGeneral Practice Dentistry Jefferson City, MO NPI 1144326745
- Richard Francis Graham, DDSOral and Maxillofacial Surgery (Dentist) Jefferson City, MO NPI 1215043104
- Thomas Ryan Orme, DDSDentist Jefferson City, MO NPI 1740517564
Other oral and maxillofacial surgery (dentist) providers in Jefferson City
About NPI 1518073402
Jonathan Grant Hanson, DDS's National Provider Identifier is 1518073402, issued on Aug 22, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Jefferson City, MO. The record was last updated on Jul 8, 2007.