Organization
RYAN HINCKLEY, DDS, MS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN HINCKLEY DDS, MS (PRESIDENT/OWNER)
(936) 404-8731
Entity
Organization
Contact information
Practice address
3300 BATTLEGROUND AVE STE 110, GREENSBORO, NC 27410-2447
(936) 404-8731
Mailing address
3300 BATTLEGROUND AVE STE 110, GREENSBORO, NC 27410-2447
(936) 404-8731
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831460278
—
TX
Enumeration date
01/12/2022
Last updated
01/12/2022
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