Provider Demographics
NPI:1174855571
Name:DOUGLAS E HINSHAW DDS PA
Entity Type:Organization
Organization Name:DOUGLAS E HINSHAW DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:HINSHAW
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:620-278-2349
Mailing Address - Street 1:606 EVERGREEN WAY
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:KS
Mailing Address - Zip Code:67579-1740
Mailing Address - Country:US
Mailing Address - Phone:620-278-2349
Mailing Address - Fax:620-278-2012
Practice Address - Street 1:239 N BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:KS
Practice Address - Zip Code:67579-1916
Practice Address - Country:US
Practice Address - Phone:620-278-2150
Practice Address - Fax:620-278-2012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-10
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS58881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty