IndividualActive
Gentry Hansen, DMD, MD
NPI 1235497975 · Oral and Maxillofacial Surgery (Dentist) · Sioux City, IA
Provider details
- NPI number
- 1235497975
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DMD, MD
- Sex
- Male
- Sole proprietor
- No
- License
- D1197 (SD)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Dental Providers
Dental Providers
Practice location
5828 Sunnybrook Dr
Sioux City, IA 51106-4253
Phone: (712) 823-9654
Fax: (712) 823-9008
Approximate (ZIP-level) locationGet directions
Mailing address
5828 Sunnybrook Dr
Sioux City, IA 51106-4253
Registry dates
- Enumerated
- 2012-05-01
- Last updated
- 2024-03-07
- Certified
- 2024-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.