Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366649980 Individual Practitioner Male Practitioner

Dr. David L. Hanson , DDS

Dentist - General Practice • Prudenville, MI

Professional Overview & Biography Verified Profile Summary

Dr. David Hanson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Prudenville, MI. Practice services are available at 1090 W HOUGHTON LAKE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1090 W Houghton Lake Dr

Prudenville, MI 486519613

Telephone 9893668643
Fax 9893669525
Associated Practice Facility / Clinic
🏢 David L. Hanson Dds.,pc. Facility NPI 1447425582

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Prudenville, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Prudenville, MI (4360 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 MI 13648

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 License Number
13648 (MI)
Commercial Insurance / Payer ID Bcbs
136480 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Brooke Wieczorek

Massage Therapist

NPI 1477404408
NPI 1659519403

Doctor of Chiropractic

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 07, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location August 07, 2008

Registered at 1090 W HOUGHTON LAKE DR, PRUDENVILLE, MI 486519613 (Tel: 9893668643)

📍
Updated Business Mailing Address August 07, 2008

Registered at 1090 W HOUGHTON LAKE DR, PRUDENVILLE, MI 486519613 (Tel: 9893668643)

👤
Provider Name / Credentials Updated August 07, 2008

Recorded as DAVID HANSON, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2008

Dentist (License #13648 in MI)

🟢
Initial NPI Registration & Enumeration June 28, 2007

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: 1366649980
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2007
Last Update: August 07, 2008
Sole Proprietor: No

Mailing Address

1090 W Houghton Lake Dr

Prudenville, MI 486519613

Phone: 9893668643

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.