Roger Edward Hanks, DDS

General Practice Dentistry · Great Lakes, IL

Individual Active NPI

NPI number 1659343978

Practice location

3001 6TH St Ste a
Naval Health Clinic -Bldg 1017
Great Lakes, IL 60088-2833
Phone
(847) 688-2100

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NPI record

NPI
1659343978
Entity type
Individual (Type 1)
Enumeration date
February 2, 2006
Last updated
November 4, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 3591-015 WI

Mailing address

1111 Ten Pin Ln
Beach Park, IL 60099-4511
Phone
(847) 975-3383

About Dr. Hanks

Roger Edward Hanks, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3001 6TH St Ste a, Naval Health Clinic -Bldg 1017, Great Lakes, IL 60088-2833. The NPI number 1659343978 was assigned on February 2, 2006 and the record was last updated on November 4, 2008.

Dr. Hanks lists a license in the registry: #3591-015 (WI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Roger Edward Hanks, DDS?

The NPI number is 1659343978.

What is the phone number of Dr. Hanks?

The phone number listed for the practice location is (847) 688-2100.

Where is Dr. Hanks located?

3001 6TH St Ste a, Naval Health Clinic -Bldg 1017, Great Lakes, IL 60088-2833.

What is the taxonomy code for Dr. Hanks?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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.

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