Provider Demographics
NPI:1932499233
Name:HANNA, JAMILEE D (DDS)
Entity type:Individual
Prefix:
First Name:JAMILEE
Middle Name:D
Last Name:HANNA
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 1:2780 HIGHWAY 365 STE C
Mailing Address - Street 2:
Mailing Address - City:PORT ARTHUR
Mailing Address - State:TX
Mailing Address - Zip Code:77640-2191
Mailing Address - Country:US
Mailing Address - Phone:409-433-9254
Mailing Address - Fax:409-722-9334
Practice Address - Street 1:2780 HIGHWAY 365 STE C
Practice Address - Street 2:
Practice Address - City:PORT ARTHUR
Practice Address - State:TX
Practice Address - Zip Code:77640-2191
Practice Address - Country:US
Practice Address - Phone:409-433-9254
Practice Address - Fax:409-722-9334
Is Sole Proprietor?:No
Enumeration Date:2011-04-08
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15854122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist