Dr. Thomas William Hanna III, DDS
Dentist, General Practice in Ruston, LA. Individual provider (NPI-1).
NPI number1184144479
StatusActive
Last updated in NPPESMay 7, 2022
Details
- NPI
- 1184144479
- Entity type
- Individual (NPI-1)
- Name
- Dr. Thomas William Hanna III
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2017
- Certification date
- May 7, 2022
- Last updated
- May 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 6774 | LA | Yes |
Practice location
106 E Mississippi AveRuston, LA 71270-4420
Phone 318-251-9600
Mailing address
111 Nottaway RdRuston, LA 71270-8707
Phone 504-920-9121
Other practice locations
Bldg C-6238 Ardennes St.
Fort Bragg, NC 28307
Fort Bragg, NC 28307
Phone 910-432-3515
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