Wallace Wayne Hancock in Fairfield - Dentist
Wallace Wayne Hancock - NPI 1598828840
Wallace Wayne Hancock is a Dentist in Fairfield, California. Wallace Wayne Hancock practices all healthcare services and medical treatments related to Dentist. The NPI Number for Wallace Wayne Hancock is 1598828840. The last update date is 2007-07-08.
Wallace Wayne Hancock's current location address is 1900 Pennsylvania Ave, Fairfield, California. You can contact this provider via phone number 7074271026. The mailing address for Wallace Wayne Hancock is 1900 Pennsylvania Ave, Fairfield, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wallace Wayne Hancock |
|---|---|
| Address | 1900 Pennsylvania Ave, Fairfield, California |
| Phone Number | 7074271026 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1598828840 |
|---|---|
| Provider Enumeration Date | 2006-12-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1900 Pennsylvania Ave |
|---|---|
| City | Fairfield |
| State | California (CA) |
| Post Code | 945333690 |
| Phone Number | 7074271026 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 19504 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Post Comment/ Review Below
What is the Wallace Wayne Hancock's unique identification number?
The Wallace Wayne Hancock has been assigned the NPI (National Provider Identifier) Number 1598828840 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Wallace Wayne Hancock is physically located?
The Wallace Wayne Hancock is situated at the following address: 1900 Pennsylvania Ave, Fairfield, CA 945333690.
What is the area of specialization for Wallace Wayne Hancock, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Wallace Wayne Hancock is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did the Wallace Wayne Hancock receive the assignment of its 1598828840 from the Centers for Medicare & Medicaid Services?
The Wallace Wayne Hancock was issued its 1598828840 by the Centers for Medicare & Medicaid Services on 2006-12-18.
When was the information related to Wallace Wayne Hancock most recently updated or refreshed?
The details pertaining to the Wallace Wayne Hancock, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.