Provider Demographics
NPI:1871222513
Name:PALUCH, HANNAH MARIE (DDS)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:MARIE
Last Name:PALUCH
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 1:4560 OCEAN ST STE 200
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46205-0109
Mailing Address - Country:US
Mailing Address - Phone:317-900-1692
Mailing Address - Fax:
Practice Address - Street 1:4560 OCEAN ST STE 200
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46205-0109
Practice Address - Country:US
Practice Address - Phone:317-900-1692
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-08
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12013807A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice