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

Shane R Hanson, DMD

Individual provider Endodontics · NPI 1710907787

Shane R Hanson, DMD is an Endodontics in Panama City, Florida. Licensed in Florida and Illinois. Registered with an NPI since 2006.

Licensed in
FL, IL
In the registry since
2006
Specialties on file
2
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

2999 W 10th St
Panama City, FL 32401-1444
Phone: (850) 215-3339
Fax: (888) 788-5217
Show map & directions

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

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence DN17872 (FL)
Endodontics Taxonomy 1223E0200X · Licence 19025779 (IL)

Record details

NPI number1710907787
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 20, 2006
Last updated in NPPESAugust 26, 2009
Mailing address2999 W 10th St, Panama City, FL 32401-1444

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