# LON HINCKLEY DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LON HINCKLEY DDS PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1083294920
- **Legal business name:** LON HINCKLEY DDS PLLC
- **Authorized official:** DR. LON HINCKLEY DDS (ORAL AND MAXILLOFACIAL SURGEON)
- **Authorized official phone:** (607) 427-6362

## Contact information

- **Practice address:** 10160 W 50TH AVE UNIT 1, WHEAT RIDGE, CO 80033-2339
- **Practice address phone:** (607) 427-6362
- **Mailing address:** 4943 STATE HIGHWAY 52, DACONO, CO 80514-9100
- **Mailing address phone:** (607) 427-6362

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 04/14/2021
- **Last updated:** 04/14/2021