IndividualActive
Brennon Hancock, DMD
NPI 1215594098 · General Practice Dentistry · Show Low, AZ
Provider details
- NPI number
- 1215594098
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- D010331 (AZ)
Specialties & taxonomies
Dental Providers
Practice location
301 N Central Ave
Show Low, AZ 85901-4712
Phone: (928) 537-4363
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1978
Saint Johns, AZ 85936-1978
Registry dates
- Enumerated
- 2019-05-28
- Last updated
- 2019-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.