Provider Demographics
NPI:1184834640
Name:HINSLEY, WILLIAM EDWARD JR (DMD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:EDWARD
Last Name:HINSLEY
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 SE OCEAN BLVD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34996-2511
Mailing Address - Country:US
Mailing Address - Phone:772-287-0788
Mailing Address - Fax:772-287-0916
Practice Address - Street 1:1001 SE OCEAN BLVD
Practice Address - Street 2:SUITE 107
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34996-2511
Practice Address - Country:US
Practice Address - Phone:772-287-0788
Practice Address - Fax:772-287-0916
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN71651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLDN7165OtherLICENSE NUMBER