| Kenneth Hancock Dds, Pllc | |
|
1401 4th Ave E Ste 100 Olympia WA 98506-4484 | |
| (360) 753-7388 | |
| (360) 753-3553 |
| Full Name | Kenneth Hancock Dds, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1401 4th Ave E Ste 100, Olympia, Washington |
| Authorized Official Name and Position | Kenneth L Hancock (DENTIST/OWNER) |
| Authorized Official Contact | 3607537388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Hancock Dds, Pllc 1401 4th Ave E Ste 100 Olympia WA 98506-4484 Ph: (360) 753-7388 | Kenneth Hancock Dds, Pllc 1401 4th Ave E Ste 100 Olympia WA 98506-4484 Ph: (360) 753-7388 |
| NPI Number | 1609459346 |
|---|---|
| Provider Enumeration Date | 04/30/2021 |
| Last Update Date | 04/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609459346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 122400000X | Denturist | (* (Not Available)) | Secondary |
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