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Active NPI 1417473885 Individual Practitioner Female Practitioner

Dr. Hanzara Panol , DMD

Dentist - General Practice • Marietta, OH

Professional Overview & Biography Verified Profile Summary

Dr. Hanzara Panol, DMD is a registered healthcare professional specializing in Dentist - General Practice in Marietta, OH. Practice services are available at 30 ACME ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

30 Acme St

Marietta, OH 457503306

Telephone 7403733136
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Marietta, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.6 Yrs
Regional Practice Density
19 Specialists

Practicing in Marietta, OH (4287 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

CMS Verified: 2021-12-27
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN26430

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License OH 30.026660

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

Medicaid State Provider ID
1417473885 (NC)

Secondary Practice Locations

1051 Port Malabar Blvd Ne Ste 1

Palm Bay, FL 329055153

Phone: 3217296060

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. Omar Panol , DMD

Dentist - General Practice

NPI 1144841701

Doctor of Dental Medicine

Dr. Roxana Sanchez , DDS

Student in an Organized Health Care Education/Training Program

NPI 1386588838

Doctor of Dental Surgery

Dr. Sarah Palmer , DDS

Student in an Organized Health Care Education/Training Program

NPI 1861125072

Doctor of Dental Surgery

NPI 1932973914

Career & Practice History Timeline

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

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 27, 2021

Dentist (License #30.026660 in OH)

📍
Updated Practice Location September 21, 2021

Registered at 30 ACME ST, MARIETTA, OH 457503306 (Tel: 7403733136)

📍
Updated Business Mailing Address September 21, 2021

Registered at 14037 NW 88TH PL, MIAMI LAKES, FL 330187343 (Tel: 3059000873)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2021

Dentist (License #51163 in NC)

📍
Updated Practice Location August 19, 2019

Registered at 4501 LOUISE UNDERWOOD WAY, LOUISVILLE, KY 402163987 (Tel: 5023682348)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2019

Student in an Organized Health Care Education/Training Program (License #10325 in KY)

NPI Profile Active August 17, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 17, 2017

Registered at 101 MANNING DR, CHAPEL HILL, NC 275144220 (Tel: 9195373939)

📍
Updated Business Mailing Address August 17, 2017

Registered at 116 SCHULTZ ST, CHAPEL HILL, NC 275141503

👤
Provider Name / Credentials Updated August 17, 2017

Recorded as HANZARA PANOL, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2017

Dentist (License #51163 in NC)

🟢
Initial NPI Registration & Enumeration August 17, 2017

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: 1417473885
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 17, 2017
Last Update: December 27, 2021
Sole Proprietor: No

Mailing Address

14037 Nw 88th Pl

Miami Lakes, FL 330187343

Phone: 3059000873

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.