Individual provider · Type 1 NPI

Fred M. Hannan Sr., DDS

General Practice Dentistry · Hephzibah, GA

NPI number 1972583151 Active

Practice location

4108 Windsor Spring Rd, Suite B
Hephzibah, GA 30815-5910

Fax (706) 793-8641

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X6539 (GA)

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 1972583151

Fred M. Hannan Sr., DDS's National Provider Identifier is 1972583151, issued on Jan 22, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Hephzibah, GA. The record was last updated on Jul 13, 2026.