Provider Demographics
NPI:1932346970
Name:WILLARD HANKINS DDS. INC
Entity Type:Organization
Organization Name:WILLARD HANKINS DDS. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLARD
Authorized Official - Middle Name:
Authorized Official - Last Name:HANKINS
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:562-929-8399
Mailing Address - Street 1:10805 ORR AND DAY RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:SANTA FE SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:90670-4361
Mailing Address - Country:US
Mailing Address - Phone:562-929-8399
Mailing Address - Fax:562-868-3615
Practice Address - Street 1:10805 ORR AND DAY RD
Practice Address - Street 2:SUITE 5
Practice Address - City:SANTA FE SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:90670-4361
Practice Address - Country:US
Practice Address - Phone:562-929-8399
Practice Address - Fax:562-868-3615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-13
Last Update Date:2009-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36556305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization