Jack Haynes Hancock DMD

NPI 1013902980 - Dentist - 1223S0112X

NPI Details
NPI 1013902980
Gender Male
Enumeration Date 09/15/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
10 ENTERPRISE BLVD
SUITE 209
GREENVILLE SC, 29615-6301, US
Phone (864) 234-8811
Fax (864) 234-8844
Business Location
10 ENTERPRISE BLVD
SUITE 209
GREENVILLE SC, 29615-6301, US
Phone (864) 234-8811
Fax (864) 234-8844
Toxanomy
Taxonomy Code 1223S0112X
License State South Carolina
License Number 1588
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According to our database, Dr. Jack Haynes Hancock DMD NPI is 1013902980, taxonomy code is 1223S0112X and license number is 1588, license state is located at South Carolina. Jack Haynes Hancock DMD physically located at 10 Enterprise Blvd, Greenville SC, 29615-6301. NPI Number Jack Haynes Hancock DMD has the Individual type.

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1013902980 NPI number is provided on an as is basis without warranty of any kind. 1013902980 is maintained by the National Plan & Provider Enumeration System. The contents of Jack Haynes Hancock DMD are for informational purposes only.