ELISA HANNAN, DMD, MD

Oral & Maxillofacial Surgery (D.M.D.) · AVON, CT

Individual Active Opted out of Medicare NPI 1114420676

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Oral & Maxillofacial Surgery (D.M.D.)204E00000X77680CT
Oral and Maxillofacial Surgery (Dentist)1223S0112X13976CT

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

Opted out of Medicare (Oral Surgery), effective 2024-05-29 through 2028-05-29.

Other Oral & Maxillofacial Surgery (D.M.D.) providers in Connecticut

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.