Individual provider · Type 1 NPI

Laura K. Hannon, D.D.S

General Practice Dentistry · Portage, IN

NPI number 1609933928 Active

Practice location

6080 Lute Rd
Portage, IN 46368-5008

Call (219) 763-6646 Map

Fax (219) 762-8763

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X12007861A (IN)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1609933928

Laura K. Hannon, D.D.S's National Provider Identifier is 1609933928, issued on Jan 3, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Portage, IN. The record was last updated on Jul 8, 2007.