Provider Demographics
NPI:1467601518
Name:HANKINS, LEROY DANIEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:LEROY
Middle Name:DANIEL
Last Name:HANKINS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 COTTAGE AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:CASHMERE
Mailing Address - State:WA
Mailing Address - Zip Code:98815-1616
Mailing Address - Country:US
Mailing Address - Phone:509-782-2297
Mailing Address - Fax:
Practice Address - Street 1:201 COTTAGE AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:CASHMERE
Practice Address - State:WA
Practice Address - Zip Code:98815-1616
Practice Address - Country:US
Practice Address - Phone:509-782-2297
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-13
Last Update Date:2008-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE600343421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice