Provider Demographics
NPI:1508585654
Name:JAMES HANCHETT,DDS PC
Entity Type:Organization
Organization Name:JAMES HANCHETT,DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTAL ASSISTANT/FRONT DESK
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:JO
Authorized Official - Last Name:SANFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-627-4301
Mailing Address - Street 1:11404 N STRAITS HWY
Mailing Address - Street 2:
Mailing Address - City:CHEBOYGAN
Mailing Address - State:MI
Mailing Address - Zip Code:49721-9001
Mailing Address - Country:US
Mailing Address - Phone:231-627-4301
Mailing Address - Fax:
Practice Address - Street 1:11404 N STRAITS HWY
Practice Address - Street 2:
Practice Address - City:CHEBOYGAN
Practice Address - State:MI
Practice Address - Zip Code:49721-9001
Practice Address - Country:US
Practice Address - Phone:231-627-4301
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-23
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental