OrganizationActive
Fred M Hannan Sr, D.D.S., PC
NPI 1740438308 · General Practice Dentistry · Hephzibah, GA
Provider details
- NPI number
- 1740438308
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Fred Hannan, Dentist(706) 793-3600
- License
- 6539 (GA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4108 Windsor Spring Rd
Hephzibah, GA 30815-5910
Phone: (706) 793-3600
Street-level locationGet directions
Mailing address
4108 Windsor Spring Rd
Hephzibah, GA 30815-5910
Registry dates
- Enumerated
- 2008-09-08
- Last updated
- 2008-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.