Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Lacey J Hansen, DMD

Individual provider Dentist · NPI 1811473580

Dr. Lacey J Hansen, DMD is a Dentist in Valdosta, Georgia. Licensed in Georgia. Registered with an NPI since 2018.

Licensed in
GA
In the registry since
2018
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

103 Woodrow Wilson Dr
Valdosta, GA 31602-2539
Phone: (229) 242-8088
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN015636 (GA)

Record details

NPI number1811473580
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 16, 2018
Last updated in NPPESApril 23, 2024
Certification dateApril 23, 2024

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