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DR. JONATHAN GRANT HANSON D.D.S.
NPI 1518073402
Dentist - Oral and Maxillofacial Surgery in Jefferson City, MO

Active since August 22, 2006
1400 SOUTHWEST BLVD, SUITE C, JEFFERSON CITY, MO 65109(573) 635-7216(573) 635-2646 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jonathan Grant Hanson D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JONATHAN GRANT HANSON D.D.S. (NPI 1518073402) is an individual oral and maxillofacial surgery provider in Jefferson City, Missouri, licensed in Missouri (011885) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1518073402
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JONATHAN GRANT HANSONCredential: D.D.S.
Location Address1400 SOUTHWEST BLVD, SUITE CJefferson City, MO 65109-2490
Mailing Address1400 Southwest Blvd, Suite CJefferson City, MO 65109-2490 · (573) 635-7216 · Fax (573) 635-2646
Phone(573) 635-7216
Fax(573) 635-2646
Sole ProprietorNo
Enumeration DateAugust 22, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1518073402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MO · 011885
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1400 SOUTHWEST BLVD, Jefferson City, MO 65109
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Other Identifiers 1

Medicare UPINT70987MO

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN L WHIPPLE JR. DDS
Dentist (General Practice)
1400 SOUTHWEST BLVD, SUITE A
JEFFERSON CITY, MO 65109
Cole County (573) 634-4909
DR. RICHARD FRANCIS GRAHAM D.D.S.
Dentist (Oral and Maxillofacial Surgery)
1400 SOUTHWEST BLVD, SUITE C
JEFFERSON CITY, MO 65109
Cole County (573) 635-7216
DR. THOMAS RYAN ORME DDS
Dentist
1400 SOUTHWEST BLVD, SUITE A
JEFFERSON CITY, MO 65109
Cole County (573) 634-4909
JEFFERSON CITY ORAL AND MAXILLOFACIAL SURGERY, LLC
Dentist (Oral and Maxillofacial Surgery)
1400 SOUTHWEST BLVD, SUITE C
JEFFERSON CITY, MO 65109
Cole County (573) 635-7216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Hanson's NPI number?

The NPI number for Jonathan Hanson is 1518073402. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Jonathan Hanson located?

Jonathan Hanson practices at 1400 Southwest Blvd Suite C, Jefferson City, MO 65109. The listed phone number is (573) 635-7216.

What is Jonathan Hanson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Jonathan Hanson was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.