Roger M. Hanawalt, D.D.S.

General Practice Dentistry · La Verne, CA

Individual Active NPI

NPI number 1861473357

Practice location

2450 D St
La Verne, CA 91750-4416
Phone
(909) 593-4581
Fax
(909) 593-4129

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NPI record

NPI
1861473357
Entity type
Individual (Type 1)
Enumeration date
November 10, 2005
Last updated
November 13, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 28704 CA

About Dr. Hanawalt

Roger M. Hanawalt, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2450 D St, La Verne, CA 91750-4416. The NPI number 1861473357 was assigned on November 10, 2005 and the record was last updated on November 13, 2007.

Dr. Hanawalt lists a license in the registry: #28704 (CA) 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 M. Hanawalt, D.D.S.?

The NPI number is 1861473357.

What is the phone number of Dr. Hanawalt?

The phone number listed for the practice location is (909) 593-4581.

Where is Dr. Hanawalt located?

2450 D St, La Verne, CA 91750-4416.

What is the taxonomy code for Dr. Hanawalt?

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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