Hancock Dental | |
485 W Chubbuck Rd Ste A Chubbuck ID 83202-2308 | |
(208) 234-1006 | |
(208) 234-8990 |
Full Name | Hancock Dental |
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Speciality | Clinic/center - Dental |
Location | 485 W Chubbuck Rd Ste A, Chubbuck, Idaho |
Authorized Official Name and Position | Tad E Hancock (OWNER) |
Authorized Official Contact | 2082341006 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hancock Dental 485 W Chubbuck Rd Ste A Chubbuck ID 83202-2308 Ph: (208) 234-1006 | Hancock Dental 485 W Chubbuck Rd Ste A Chubbuck ID 83202-2308 Ph: (208) 234-1006 |
NPI Number | 1609560937 |
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Provider Enumeration Date | 06/08/2023 |
Last Update Date | 06/08/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609560937 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Chubbuck Kidz Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 371 E Chubbuck Rd, Chubbuck, ID 83202 Phone: 208-358-8871 |