Provider Demographics
NPI:1932190964
Name:HANCOCK, JAMES ASHLEY (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ASHLEY
Last Name:HANCOCK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:J.
Other - Middle Name:ASHLEY
Other - Last Name:HANCOCK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:6010 N VILLA AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-7158
Mailing Address - Country:US
Mailing Address - Phone:405-843-5537
Mailing Address - Fax:
Practice Address - Street 1:6010 N VILLA AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-7158
Practice Address - Country:US
Practice Address - Phone:405-843-5537
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-31
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK46021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice