Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral & Maxillofacial Surgery |
204E00000X | 02 | Physician/General Surgery |
| NPI Number | 1679150064 |
| LBN Legal business name | LON HINCKLEY DDS PLLC |
| Authorized official | LON HINCKLEY - (ORAL AND MAXILLOFACIAL SURGEON) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/24/2021 |
| Last updated | 04/14/2021 - About 5 years ago |
| Identifiers | n/a |
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