Provider Demographics
NPI:1275985251
Name:HANKLA, ISAAC (DMD)
Entity Type:Individual
Prefix:DR
First Name:ISAAC
Middle Name:
Last Name:HANKLA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 STATE RD S -7-50
Mailing Address - Street 2:#530
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29909
Mailing Address - Country:US
Mailing Address - Phone:270-585-4020
Mailing Address - Fax:
Practice Address - Street 1:28 E 63RD ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-4124
Practice Address - Country:US
Practice Address - Phone:270-585-4020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-01
Last Update Date:2016-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY9748122300000X
SC8833122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist