DR. RAYMOND HARVEY HANCOCK (NPI# 1710917984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710917984 |
| Entity Type | Individual |
| Full Name | DR. RAYMOND HARVEY HANCOCK |
| Credential | D.D.S. |
| Practice Address |
2200 Bergquist Dr Ste 1 Attn: Credentials (cmc) Lackland A F B TX 78236-9908 |
| Practice Telephone | 2102926365 |
| Practice Fax Number | 2102923338 |
| Mailing Telephone | 2102926365 |
| Mailing Fax Number | 2102923338 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
18460 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093737157 | Raymond R. Hancock | Dentist | 475 Old Marlton Pike W, Marlton, NJ 08053-2098 | 2006-07-24 |
| Street Address |
2200 BERGQUIST DR STE 1 ATTN: CREDENTIALS (CMC) |
| City | LACKLAND A F B |
| State | TX |
| Zip Code | 78236-9908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467891366 | Samantha Luanne Guy | Physician Assistant | 2200 Bergquist Dr Ste 1, Attn: Credentials (sghc), Lackland A F B, TX 78236-9908 | 2013-06-24 |
| 1427492545 | Oscar Escano | General Practice | 2200 Bergquist Dr Ste 1, 59 Mhs/sgowv1, Lackland A F B, TX 78236-9908 | 2013-04-19 |
| 1881935112 | J T Floyd | Physician Assistant | 2200 Bergquist Dr Ste 1, Attn: Credentials (sghc), Lackland A F B, TX 78236-9908 | 2013-03-12 |
| 1144583352 | Cleann Toner | Pharmacist | 2200 Bergquist Dr Ste 1, Lackland A F B, TX 78236-9908 | 2012-06-21 |
| 1417223561 | Nancy Vogelgesang | Pharmacist | 2200 Bergquist Dr Ste 1, Lackland A F B, TX 78236-9908 | 2012-03-22 |
| 1295011641 | Stephen Garrett Ray | Nurse Practitioner | 2200 Bergquist Dr Ste 1, Attn: Credentials (cmc), Lackland A F B, TX 78236-9908 | 2011-10-31 |
| 1396029559 | Daniel Sung Oh | Military Health Care Provider | 2200 Bergquist Dr Ste 1, Lackland A F B, TX 78236-9908 | 2011-10-06 |
| 1184919763 | Marley Cranford Smith | Case Manager/Care Coordinator | 2200 Bergquist Dr Ste 1, Attn: Credentials (cmc), Lackland A F B, TX 78236-9908 | 2011-06-13 |
| 1770881633 | Jennifer B Gillespie | Student in an Organized Health Care Education/Training Program | 2200 Bergquist Dr Ste 1, Lackland A F B, TX 78236-9908 | 2011-03-02 |
| 1972804540 | Nilofer N Pervez Arthur | Pharmacist | 2200 Bergquist Dr Ste 1, Lackland Air Force Base, Lackland A F B, TX 78236-9908 | 2010-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047363 | Arnoldo Arturo Gonzalez Jr. | Specialist/Technologist | 1033 Truemper St, Lackland Afb, TX 78236 | 2020-03-06 |
| 1023643343 | Meredith Grace Cockerell | Specialist/Technologist | W Military Drive, San Antonio, TX 78236 | 2020-03-06 |
| 1578120598 | Hali Rashelle Hall | Dentist | 1615 Truemper St, Blg 6418, Attn: 59ds/sgdn, Jbsa Lackland, TX 78236 | 2019-05-24 |
| 1952967077 | Paul Fianza Boseman | Nurse Practitioner | 1106 Wilford Hall Loop, San Antonio, TX 78236 | 2019-05-14 |
| 1689161978 | Kelly Jones Buckshire | Dentist | Dunn Dental Clinic, 1615 Truemper Rd, San Antonio, TX 78236 | 2018-04-23 |
| 1902308570 | Roger Louis Farney | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg. 4554, Jbsa Lackland Afb, TX 78236 | 2018-02-28 |
| 1568916856 | Thomas Maxwell Woolf | Dentist | 1100 Wilford Hall Ambulatory Surgical Center, Lackland Afb, TX 78236 | 2016-08-04 |
| 1831544956 | Michael Veronneau | Student in an Organized Health Care Education/Training Program | 59 Mdw/ge 1100 Wilford Hall Loop, Bldg. 4554, Jbsa Lackland, TX 78236 | 2016-04-26 |
| 1376906958 | David Kephart Jr. | General Practice | 1100 Wilford Hall Loop Bldg 4454, Jbsa Lackland, TX 78236 | 2016-04-01 |
| 1184084089 | Olivia Arballo | Dermatology | Wilford Hall Asc, Attn: Dept of Dermatology, 1100 Wilford Hall Loop Bldg 4554, Jbsa-lackland, TX 78236 | 2016-03-04 |
| Find all providers in zip 78236 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720012248 | Michael J Conlan | Dentist | 2200 Bergquist Dr, Attn Credentials (cmc), Lackland A F B, TX 78236-9907 | 2006-07-10 |
| 1346213063 | Howard Thomas Mcdonnell | Dentist | 2450 Pepperrell St, Lackland A F B, TX 78236-5345 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457961492 | Sonrisas Dental Center South, LLC | Dentist | 1217 W Slaughter Ln Ste 100, Austin, TX 78748-6912 | 2020-08-05 |
| 1487263653 | Julia Ann Shelbourn | Dentist | 8210 Floyd Curl Dr # 8122, San Antonio, TX 78229-3923 | 2020-07-23 |
| 1386253664 | Kara Dunegan | Dentist | 8210 Floyd Curl Dr Msc 8122, San Antonio, TX 78229-3923 | 2020-07-23 |
| 1093323362 | Ace Dental10, Pllc | Dentist | 901 N Ih-35, Suite 111, Bellmead, TX 76705 | 2020-07-22 |
| 1326669193 | Bellaire Periocosmetic Dental Pllc | Dentist | 9889 Bellaire Blvd Ste 322, Houston, TX 77036-3468 | 2020-05-02 |
| 1447884341 | Kagayaki Corp. | Dentist | 3535 Victory Group Way Ste 101, Frisco, TX 75034-6719 | 2020-02-28 |
| 1225660046 | Ezzy Oms Pllc | Dentist | 11620 Louetta Rd Ste B, Houston, TX 77070-1282 | 2020-02-10 |
| 1912538984 | Michelle Marie Torres Santos | Dentist | 6123 79th St # 100, Lubbock, TX 79424-8708 | 2020-01-29 |
| 1225668429 | Rachel Dai, Pllc | Dentist | 20423 Kuykendahl Rd Ste 600, Spring, TX 77379-3493 | 2020-01-16 |
| 1003456716 | Samer A Faraj Dds Ms Pllc | Dentist | 23762 Us 59 Ste A, Porter, TX 77365 | 2020-01-10 |
| Find all providers with the same taxonomy | ||||
| City | LACKLAND A F B |
| Zip Code | 78236 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.