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NPI 1740438308
● Active Type 2 · Organization
Fred M Hannan Sr, D.d.s., Pc
Dentist · Hephzibah, GA · NPI 1740438308
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Enumerated 2008 · 17 years on NPI
Fred M Hannan Sr, D.d.s., Pc is 1 of 4309 dentist organizations in Georgia.
NPI age
17 years
Enumerated 2008-09-08
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hannan
Dentist
Last NPPES update
2008-09-08
Source: monthly bulk 2026-05
How this organization compares
Across 4309 active dentist providers in Georgia.
NPI age
17 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
NPI lifetime · 2008 → 2026
2008-09 Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
4108 Windsor Spring Rd
Hephzibah, GA 308155910
📞 7067933600
Mailing address
4108 Windsor Spring Rd
Hephzibah, GA 308155910
Authorized official
Fred M Hannan, D.D.S.
Dentist
📞 7067933600
Individual providers at this organization
1 individual provider on file at this primary practice address.
Specialties
Dentist
Primary
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.
GA license #6539 taxonomy 1223G0001X
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.