Dr. JONATHAN GRANT HANSON -- D.D.S.
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1518073402- Provider Type
- Individual Provider (NPI-1)
- Credentials
- D.D.S.
- Status
- Active
Contact & Location
- Address
- 1400 SOUTHWEST BLVD SUITE C, JEFFERSON CITY, MO, 651092490
- Phone
- (573) 635-7216
- Fax
- (573) 635-2646
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: MO #011885