Provider Demographics
NPI:1346665049
Name:HINOJOSA, ANDREW E (DDS)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:E
Last Name:HINOJOSA
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 1:382 TENNESSEE AVE N
Mailing Address - Street 2:
Mailing Address - City:PARSONS
Mailing Address - State:TN
Mailing Address - Zip Code:38363-2024
Mailing Address - Country:US
Mailing Address - Phone:731-847-6625
Mailing Address - Fax:
Practice Address - Street 1:382 TENNESSEE AVE N
Practice Address - Street 2:
Practice Address - City:PARSONS
Practice Address - State:TN
Practice Address - Zip Code:38363-2024
Practice Address - Country:US
Practice Address - Phone:731-847-6625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-04
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN103651223G0001X, 1223G0001X
KS609431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice