Healthcare Provider Details

I. General information

NPI: 1760315261
Provider Name (Legal Business Name): ISAAC THOMAS HINCKLEY, DDS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 VALLOMBROSA AVE STE 300
CHICO CA
95926-3976
US

IV. Provider business mailing address

250 VALLOMBROSA AVE STE 300
CHICO CA
95926-3976
US

V. Phone/Fax

Practice location:
  • Phone: 530-894-5185
  • Fax:
Mailing address:
  • Phone: 530-894-5185
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: ISAAC HINCKLEY
Title or Position: ORTHODONTIST
Credential: DDS
Phone: 307-679-1095