Tabitha Hanson, DMD

Dentist · Marshall, IL

Individual Active NPI

NPI number 1356073993

Practice location

815 N 2ND St
Marshall, IL 62441-1086
Phone
(217) 826-5181

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NPI record

NPI
1356073993
Entity type
Individual (Type 1)
Enumeration date
June 30, 2022
Last updated
June 30, 2022
Certified
June 28, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 019033725 IL
Dentist 122300000X 019.033725 IL

Mailing address

19882 N 2100TH St
Marshall, IL 62441-3529

Other practice locations (1)

  • 1400 E Main St, Casey, IL 62420-2106 · (217) 932-5266

About Dr. Hanson

Tabitha Hanson, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 815 N 2ND St, Marshall, IL 62441-1086. The NPI number 1356073993 was assigned on June 30, 2022 and the record was last updated on June 30, 2022.

Dr. Hanson lists 2 licenses in the registry: #019033725 (IL) for Dentist; #019.033725 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tabitha Hanson, DMD?

The NPI number is 1356073993.

What is the phone number of Dr. Hanson?

The phone number listed for the practice location is (217) 826-5181.

Where is Dr. Hanson located?

815 N 2ND St, Marshall, IL 62441-1086.

What is the taxonomy code for Dr. Hanson?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.