Provider Demographics
NPI:1942021100
Name:HANKLA, DMD PLLC
Entity type:Organization
Organization Name:HANKLA, DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ISAAC
Authorized Official - Middle Name:
Authorized Official - Last Name:HANKLA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:270-585-4020
Mailing Address - Street 1:26 REYNOLDS MOUNTAIN BLVD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-1270
Mailing Address - Country:US
Mailing Address - Phone:828-658-2100
Mailing Address - Fax:
Practice Address - Street 1:26 REYNOLDS MOUNTAIN BLVD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-1270
Practice Address - Country:US
Practice Address - Phone:828-658-2100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental