Provider Demographics
NPI:1336971332
Name:HAREL, HANNAH KATE (RDH)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:KATE
Last Name:HAREL
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 MAIN ST E STE A
Mailing Address - Street 2:
Mailing Address - City:GORDONSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38563-2054
Mailing Address - Country:US
Mailing Address - Phone:615-683-6161
Mailing Address - Fax:
Practice Address - Street 1:14 MAIN ST E STE A
Practice Address - Street 2:
Practice Address - City:GORDONSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38563-2054
Practice Address - Country:US
Practice Address - Phone:615-683-6161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-17
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10612124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist