Provider Demographics
NPI:1437896131
Name:JEFFRESS-VANDERS, HANNAH (DDS)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:JEFFRESS-VANDERS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:
Other - Last Name:JEFFRESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13012 GRENOBLE DR
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20853-3335
Mailing Address - Country:US
Mailing Address - Phone:423-767-2995
Mailing Address - Fax:
Practice Address - Street 1:8901 WISCONSIN AVE OMFS CLINIC BLDG 9, 2ND DECK RM 2505
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-5285
Practice Address - Country:US
Practice Address - Phone:301-295-4340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-16
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11916122300000X, 171000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider
No122300000XDental ProvidersDentist