Individual
DR. NATHAN JOHN HINCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8085 W BELL RD STE 103, PEORIA, AZ 85382-3825
(623) 878-5400
Mailing address
2834 E PRESTON ST, MESA, AZ 85213-1926
(405) 651-5889
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D009780
AZ
1223G0001X
General Practice Dentistry
6226
OK
Other
Enumeration date
07/08/2010
Last updated
07/21/2022
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