Provider Demographics
NPI:1962428938
Name:HANSWIRTH DENTISTRY, PLLC.
Entity type:Organization
Organization Name:HANSWIRTH DENTISTRY, PLLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:HANSWIRTH
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:914-946-1500
Mailing Address - Street 1:30 LAKE ST APT 1F
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10603-4018
Mailing Address - Country:US
Mailing Address - Phone:914-946-1500
Mailing Address - Fax:914-946-1537
Practice Address - Street 1:30 LAKE ST APT 1F
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10603-4018
Practice Address - Country:US
Practice Address - Phone:914-946-1500
Practice Address - Fax:914-946-1537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0455961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty