Provider Demographics
NPI:1457507626
Name:NADINE M HUTCHINS DDS PC
Entity Type:Organization
Organization Name:NADINE M HUTCHINS DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST OWNER PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NADINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:HUTCHINS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:970-242-7373
Mailing Address - Street 1:2352 N 7TH STREET
Mailing Address - Street 2:SUITE 4
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501
Mailing Address - Country:US
Mailing Address - Phone:970-242-7373
Mailing Address - Fax:970-263-8604
Practice Address - Street 1:2352 N 7TH STREET
Practice Address - Street 2:SUITE 4
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501
Practice Address - Country:US
Practice Address - Phone:970-242-7373
Practice Address - Fax:970-263-8604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-07
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCO-7361122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty