IndividualActive
Jack Hancock, DMD
NPI 1013902980 · Oral and Maxillofacial Surgery (Dentist) · Greenville, SC
Provider details
- NPI number
- 1013902980
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DMD
- Sex
- Male
- License
- 1588 (SC)
Specialties & taxonomies
Dental Providers
Practice location
10 Enterprise Blvd
Suite 209
Greenville, SC 29615-6301
Phone: (864) 234-8811
Fax: (864) 234-8844
Approximate (ZIP-level) locationGet directions
Mailing address
10 Enterprise Blvd
Greenville, SC 29615-6301
Registry dates
- Enumerated
- 2005-09-15
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.