Provider Demographics
NPI:1770262446
Name:CAIN, HANNA LYNN (DDS)
Entity type:Individual
Prefix:
First Name:HANNA
Middle Name:LYNN
Last Name:CAIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:928 E LOOS ST UNIT 7
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:WI
Mailing Address - Zip Code:53027-2094
Mailing Address - Country:US
Mailing Address - Phone:715-415-4807
Mailing Address - Fax:
Practice Address - Street 1:309 N 7TH AVE
Practice Address - Street 2:
Practice Address - City:WEST BEND
Practice Address - State:WI
Practice Address - Zip Code:53095-3242
Practice Address - Country:US
Practice Address - Phone:262-338-1164
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-11
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6001221-15122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist