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Organization
LON HINCKLEY DDS PLLC
Active
Organization
LON HINCKLEY DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LON SAMUEL HINCKLEY DDS (ORAL AND MAXILLOFACIAL SURGEON)
(607) 427-6362
Entity
Organization
Contact information
Practice address
4943 STATE HIGHWAY 52, DACONO, CO 80514-9100
(607) 427-6362
Mailing address
4943 STATE HIGHWAY 52, DACONO, CO 80514-9100
(607) 427-6362
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
NULL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
03/24/2021
Last updated
04/14/2021
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