● Active Type 2 · Organization
Subpart
Hancock Dental
Clinic/Center·Chubbuck, ID· NPI 1609560937
·
Enumerated 2023 · 2 years on NPI
Hancock Dental is 1 of 202 clinic/center organizations in Idaho.
NPI age
2 years
Enumerated 2023-06-08
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hancock
Owner
Last NPPES update
2023-06-08
Source: monthly bulk 2026-05
How this organization compares
Across 202 active clinic/center providers in Idaho.
NPI age
2 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
NPI lifetime · 2023 → 2026
2023-06Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
485 W Chubbuck Rd Ste A
Chubbuck, ID 832022308
📞 2082341006fax 2082348990
Mailing address
485 W Chubbuck Rd Ste A
Chubbuck, ID 832022308
📞 2082341006
Authorized official
Tad E Hancock, DDS
Owner
📞 2082341006
Specialties
-
Clinic/Center
Primary
Definition to come...
taxonomy 261QD0000X
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Single-site organization. Only one practice location on file.
Subpart of Hancock Dental.
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How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.