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Dr. Lon Samuel Hinckley, DDS
Oral and Maxillofacial Surgery (Dentist) in Dacono, Colorado
NPI 1528416963

Lon Samuel Hinckley is a Oral and Maxillofacial Surgery (Dentist) based in Dacono, CO and is specialized in Oral and Maxillofacial Surgery. Lon Samuel Hinckley practices in Dacono, CO and has the professional credentials of DDS. The NPI Number for Lon Samuel Hinckley is 1528416963 and holds a License No. DEN-DEN-LIC-18712 (Colorado).

The current practice location address for Lon Samuel Hinckley is 4943 State Highway 52 Ste 260, Dacono, CO and can be reached out via phone at 607-427-6362.

Location: 4943 State Highway 52 Ste 260, Dacono, CO, 80514-9108
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528416963
Provider Name
Lon Samuel Hinckley
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
4943 State Highway 52 Ste 260, Dacono, CO, 80514-9108
Phone Number
607-427-6362
Fax Number
Provider Enumeration Date
05/26/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4943 State Highway 52 Ste 260
City
Dacono
State
Colorado
Zip
80514-9108
Phone Number
607-427-6362
Fax Number
person
Provider Business Mailing Address Details
Address
4943 State Highway 52 Ste 260
City
Dacono
State
Colorado
Zip
80514-9108
Phone Number
607-427-6362
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
1548 (Wyoming)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
DEN-DEN-LIC-18712 (Montana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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