Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972583151 Individual Practitioner Male Practitioner

Dr. Fred M Hannan , DDS

Dentist - General Practice • Hephzibah, GA

Professional Overview & Biography Verified Profile Summary

Dr. Fred Hannan, DDS is a registered healthcare professional specializing in Dentist - General Practice in Hephzibah, GA. Practice services are available at 4108 WINDSOR SPRING RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4108 Windsor Spring Rd
Suite B

Hephzibah, GA 308155910

Telephone 7067933600
Fax 7067938641
Associated Practice Facility / Clinic
🏢 Fred M Hannan Sr, D.d.s., Pc Facility NPI 1740438308

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Hephzibah, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
3 Specialists

Practicing in Hephzibah, GA (3302 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA 6539

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID United Concordia Id
149313 (GA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 4108 WINDSOR SPRING RD, SUITE B, HEPHZIBAH, GA 308155910 (Tel: 7067933600)

📍
Updated Business Mailing Address July 09, 2007

Registered at 4108 WINDSOR SPRING RD, SUITE B, HEPHZIBAH, GA 308155910 (Tel: 7067933600)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as FRED HANNAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #6539 in GA)

🟢
Initial NPI Registration & Enumeration January 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972583151
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

4108 Windsor Spring Rd, Suite B

Hephzibah, GA 308155910

Phone: 7067933600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.