Provider Demographics
NPI:1386253847
Name:POPE, HANNAH (DMD)
Entity type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:
Last Name:POPE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5316 GARDEN DR
Mailing Address - Street 2:
Mailing Address - City:CRESTWOOD
Mailing Address - State:KY
Mailing Address - Zip Code:40014-8843
Mailing Address - Country:US
Mailing Address - Phone:502-221-1310
Mailing Address - Fax:
Practice Address - Street 1:6801 DIXIE HWY STE 128
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40258-3940
Practice Address - Country:US
Practice Address - Phone:502-365-2288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-29
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY10510122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist