Provider Demographics
NPI:1215295175
Name:HANS, HARVEEN DHILLON (DDS)
Entity type:Individual
Prefix:
First Name:HARVEEN
Middle Name:DHILLON
Last Name:HANS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5428 BASSWOOD BLVD.
Mailing Address - Street 2:
Mailing Address - City:FT. WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76137-4400
Mailing Address - Country:US
Mailing Address - Phone:817-788-7700
Mailing Address - Fax:817-281-0055
Practice Address - Street 1:5428 BASSWOOD BLVD.
Practice Address - Street 2:
Practice Address - City:FT. WORTH
Practice Address - State:TX
Practice Address - Zip Code:76137-4400
Practice Address - Country:US
Practice Address - Phone:817-788-7700
Practice Address - Fax:817-281-0055
Is Sole Proprietor?:No
Enumeration Date:2012-04-30
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19297122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist