Provider Demographics
NPI:1497303978
Name:HINDIN DENTAL, PLLC
Entity Type:Organization
Organization Name:HINDIN DENTAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:S
Authorized Official - Last Name:HINDIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:845-357-1595
Mailing Address - Street 1:2 EXECUTIVE BLVD STE 206
Mailing Address - Street 2:
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-8218
Mailing Address - Country:US
Mailing Address - Phone:845-357-1595
Mailing Address - Fax:845-357-2428
Practice Address - Street 1:2 EXECUTIVE BLVD STE 206
Practice Address - Street 2:
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-8218
Practice Address - Country:US
Practice Address - Phone:845-357-1595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-28
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment