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Organization
LON HINCKLEY DDS PLLC
Active
Organization
LON HINCKLEY DDS PLLC
Active
Parent organization
LON HINCKLEY DDS PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LON HINCKLEY DDS PLLC
Authorized official
DR. LON HINCKLEY DDS (ORAL AND MAXILLOFACIAL SURGEON)
(607) 427-6362
Entity
Organization
Contact information
Practice address
10160 W 50TH AVE UNIT 1, WHEAT RIDGE, CO 80033-2339
(607) 427-6362
Mailing address
4943 STATE HIGHWAY 52, DACONO, CO 80514-9100
(607) 427-6362
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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