Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACOB JOHNSON HANSEEN, DMD
Active Sole ProprietorDR. JACOB JOHNSON HANSEEN, DMD is a Orthodontics healthcare provider located in GLENDORA, California. NPI 1295292340 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · GLENDORA, CA
Registration Details
- NPI Number
- 1295292340
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 25, 2019 (7.4344797979983 yrs)
- Last Updated
- Feb 25, 2019
- License
-
103563 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
175 N PENNSYLVANIA AVEGLENDORA, CA, 917413316Browse CA providers · Browse ZIP 91741
- Phone
- 6269634173
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in GLENDORA, CA
| Name | Credential | NPI |
|---|---|---|
| DR. VANCE GARY OKAMOTO | DDS | 1346465051 |
| JAMISON JON PAWLEY | DMD MS | 1083839781 |
| DR. ELAINE NICOLE CHOW | DDS, MS | 1831473719 |
| DR. OULIANA OGUIENKO | DDS | 1487129482 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.