Provider Demographics
NPI:1548631799
Name:DOLSON, HANNAH R
Entity type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:R
Last Name:DOLSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:R
Other - Last Name:HOWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:215 LINCOLN DR
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59405-6787
Mailing Address - Country:US
Mailing Address - Phone:402-612-6143
Mailing Address - Fax:
Practice Address - Street 1:215 LINCOLN DR
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59405-6787
Practice Address - Country:US
Practice Address - Phone:402-612-6143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-14
Last Update Date:2015-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2626124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist