P Praxis·MD
● Active Type 1 · Individual

DR. Fred M Hannan SR., DDS

Dentist·Hephzibah, GA· NPI 1972583151 · Enumerated 2006 · 20 years on NPI
Hannan is 1 of 5 dentist providers in Hephzibah and 1 of 4309 in Georgia.
NPI age
20 years
Enumerated 2006-01-22
Primary specialty
Dentist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-09
Source: monthly bulk 2026-05
Sole proprietor
Not specified
May be part of a larger org

How this provider compares

Across 4309 active dentist providers in Georgia.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-01Enumerated in NPPES
2006 2026

Where they practice

Practice location
4108 Windsor Spring Rd, Suite B
Hephzibah, GA 308155910
📞 7067933600fax 7067938641
Mailing address
4108 Windsor Spring Rd, Suite B
Hephzibah, GA 308155910
📞 7067933600fax 7067938641

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

Identifiers

TypeValueNotes
01 (GA) 149313 UNITED CONCORDIA ID

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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