# KENNETH HANCOCK DDS, PLLC

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

## Provider details

- **NPI number:** 1609459346
- **Authorized official:** KENNETH L HANCOCK DDS (DENTIST/OWNER)
- **Authorized official phone:** (360) 753-7388

## Contact information

- **Practice address:** 1401 4TH AVE E STE 100, OLYMPIA, WA 98506-4484
- **Practice address phone:** (360) 753-7388
- **Practice address fax:** (360) 753-3553
- **Mailing address:** 1401 4TH AVE E STE 100, OLYMPIA, WA 98506-4484
- **Mailing address phone:** (360) 753-7388
- **Mailing address fax:** (360) 753-3553

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 122400000X | Denturist | — | — | — |

## Other

- **Enumeration date:** 04/30/2021
- **Last updated:** 04/30/2021