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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

Other

Enumeration date
03/24/2021
Last updated
04/14/2021
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