Individual
MATTHEW CLIFTON HANCHETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2680 S VAL VISTA DR STE 164, GILBERT, AZ 85295-1638
(205) 837-4674
Mailing address
4525 E LAKESIDE LN, PARADISE VALLEY, AZ 85253-2832
(205) 837-4674
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
TBD
AZ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
3916
WV
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DD446
NM
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
TBD
AZ
Other
Enumeration date
07/06/2009
Last updated
07/02/2020
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