# DR. RONNIE HANCOCK FAMILY DENTISTRY, PLLC

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

## Provider details

- **NPI number:** 1659798155
- **Authorized official:** DR. RONALD S. HANCOCK D.D.S. (MEMBER)
- **Authorized official phone:** (936) 564-7240

## Contact information

- **Practice address:** 1302 RAGUET STREET, NACOGDOCHES, TX 75961
- **Practice address phone:** (936) 564-7240
- **Practice address fax:** (936) 564-2731
- **Mailing address:** 1302 RAGUET STREET, NACOGDOCHES, TX 75961
- **Mailing address phone:** (936) 564-7240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |
| 124Q00000X | Dental Hygienist | — | — | — |

## Other

- **Enumeration date:** 03/21/2014
- **Last updated:** 03/21/2014
