| Hancock Dental | |
|
485 W Chubbuck Rd Ste A Chubbuck ID 83202-2308 | |
| (208) 234-1006 | |
| (208) 234-8990 |
| Full Name | Hancock Dental |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |