Provider Demographics
NPI:1720156995
Name:ROBERT F HANKEL JR DDS LTD
Entity Type:Organization
Organization Name:ROBERT F HANKEL JR DDS LTD
Other - Org Name:HANKEL CARPENTER EHRBRIGHT & MITCHELL DDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:FRED
Authorized Official - Last Name:HANKEL
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:520-836-8776
Mailing Address - Street 1:1895 N TREKELL RD
Mailing Address - Street 2:SUITE #1
Mailing Address - City:CASA GRANDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85122-1774
Mailing Address - Country:US
Mailing Address - Phone:520-836-8776
Mailing Address - Fax:520-426-9060
Practice Address - Street 1:1895 N TREKELL RD
Practice Address - Street 2:SUITE #1
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85122-1774
Practice Address - Country:US
Practice Address - Phone:520-836-8776
Practice Address - Fax:520-426-9060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2010-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4523261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental