Organization
HANCOCK COMPREHENSIVE DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENNON LEWAYNE HANCOCK DMD (DR/OWNER)
(928) 551-1464
Entity
Organization
Contact information
Practice address
100 N 13TH W, SAINT JOHNS, AZ 85936-4584
(928) 337-2522
(928) 337-4881
Mailing address
PO BOX 930, SAINT JOHNS, AZ 85936-0930
(928) 337-2522
(928) 337-4881
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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