Provider Demographics
NPI:1407504434
Name:HANKEWYCZ, ADRIAN DAMIAN (DDS)
Entity type:Individual
Prefix:DR
First Name:ADRIAN
Middle Name:DAMIAN
Last Name:HANKEWYCZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 GLENMORE RD
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-6152
Mailing Address - Country:US
Mailing Address - Phone:919-600-2362
Mailing Address - Fax:
Practice Address - Street 1:8200 ROBERTS DR STE 100
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30350-4150
Practice Address - Country:US
Practice Address - Phone:770-504-4519
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-18
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program