NPI 1003278870

Hancock Dental Clinic, PA

Organisation Dental Clinic/Center Hancock, MN

Practice location

Address: 657 Atlantic Ave, Hancock, MN 56244-2104
Phone: (320) 392-5300
Fax: (320) 392-5302
Mailing address: 657 Atlantic Ave PO Box 395, Hancock, MN 56244-2104

Authorised official

Name: Timothy J Carlson
Title: Owner/President
Phone: (320) 392-5300

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence D10212 (MN)

Other Clinic/Center providers in Minnesota →

Registry record

NPI: 1003278870
Entity type: Organization
NPI issued: 22 Mar 2016
Record last updated: 22 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.