DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JONATHAN GRANT HANSON, D.D.S.

Active

DR. JONATHAN GRANT HANSON, D.D.S. is a Oral & Maxillofacial Surgery healthcare provider located in JEFFERSON CITY, Missouri. NPI 1518073402 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · JEFFERSON CITY, MO

Registration Details

NPI Number
1518073402
Provider Type
Individual
Gender
Male
NPI Issued
Aug 22, 2006 (19.964005372207 yrs)
Last Updated
Jul 8, 2007
License
011885 (MO)

Practice Information

Address
1400 SOUTHWEST BLVD
SUITE C
JEFFERSON CITY, MO, 651092490
Browse MO providers · Browse ZIP 65109
Phone
5736357216
Fax
5736352646
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X

Other Oral & Maxillofacial Surgery Providers in JEFFERSON CITY, MO

Name Credential NPI
DR. RICHARD FRANCIS GRAHAM D.D.S. 1215043104
DR. MICHAEL THOMAS BAUMAN DMD 1205089851
JORDAN ELIZABETH IMMEL DMD 1669080214
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.