# HANCOCK COMPREHENSIVE DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477396489
- **Authorized official:** DR. BRENNON LEWAYNE HANCOCK DMD (DR/OWNER)
- **Authorized official phone:** (928) 551-1464

## Contact information

- **Practice address:** 100 N 13TH W, SAINT JOHNS, AZ 85936-4584
- **Practice address phone:** (928) 337-2522
- **Practice address fax:** (928) 337-4881
- **Mailing address:** PO BOX 930, SAINT JOHNS, AZ 85936-0930
- **Mailing address phone:** (928) 337-2522
- **Mailing address fax:** (928) 337-4881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/17/2024
- **Last updated:** 06/17/2024