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NPI Code Detail

MEDICARE: DR. ALLAN HANCOCK DDS

MEDICARE: DR. ALLAN HANCOCK DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry6531NE

General Provider Information

NPI Number : 1598759870
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALLAN HANCOCK DDS
Provider Business Mailing Address
First Line : 4101 WOOLWORTH AVE
Second Line : DENTAL DEPARTMENT 160
City : OMAHA
State : NE
Zip : 68105-1850
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4101 WOOLWORTH AVE
Second Line : DENTAL DEPARTMENT 160
City : OMAHA
State : NE
Zip : 68105-1850
Country : US
Telephone Number : 402-346-8800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2005
Last Update Date : 07/11/2007

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