NPI 1003140930 · live from the CMS NPI Registry
Dr. Richard-James M. Hansen & Associates (Fort Mill), P.C.
Dentist, General Practice in Tega Cay, SC. National Provider Identifier 1003140930, active.
NPI record
| NPI | 1003140930 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 2435 W Highway 160, Suite 101, Tega Cay, SC 29708 |
| Practice phone | 803-802-1870 |
| Mailing address | Po Box 860036, Minneapolis, MN 55486 |
| Enumerated | September 24, 2009 |
| Last updated | December 16, 2016 |
| Authorized official | Richard-James Hansen, Dentist/Owner |
| Other names | Dentalworks |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 4532 (SC) |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | — |
| Dentist, Prosthodontics | 1223P0700X | — |
| Dentist, Periodontics | 1223P0300X | — |
| Dentist, Pediatric Dentistry | 1223P0221X | — |
| Dentist, General Practice primary | 1223G0001X | 4532 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.