Individual
DR. TAD E HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
485 WEST CHUBBUCK ROAD SUITE A, CHUBBUCK, ID 83202
(208) 234-1006
(208) 234-8990
Mailing address
485 WEST CHUBBUCK ROAD SUITE A, CHUBBUCK, ID 83202
(208) 234-1006
(208) 234-8990
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3507
ID
Other
Enumeration date
11/13/2006
Last updated
06/08/2023
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