Individual provider · Type 1 NPI

Jack Haynes Hancock, DMD

Oral and Maxillofacial Surgery (Dentist) · Greenville, SC

NPI number 1013902980 Active

Practice location

10 Enterprise Blvd, Suite 209
Greenville, SC 29615-6301

Call (864) 234-8811 Map

Fax (864) 234-8844

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X1588 (SC)

Oral and Maxillofacial Surgery (Dentist): 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.

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About NPI 1013902980

Jack Haynes Hancock, DMD's National Provider Identifier is 1013902980, issued on Sep 15, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Greenville, SC. The record was last updated on Jul 13, 2026.