Provider Demographics
NPI:1508978008
Name:HINTON, SABRINA L (DMD)
Entity Type:Individual
Prefix:DR
First Name:SABRINA
Middle Name:L
Last Name:HINTON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 N GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81003-3111
Mailing Address - Country:US
Mailing Address - Phone:719-562-4461
Mailing Address - Fax:719-584-7694
Practice Address - Street 1:3439 MCGEHEE RD STE B
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36111-3392
Practice Address - Country:US
Practice Address - Phone:334-288-1868
Practice Address - Fax:334-288-1825
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL52791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL76216Medicare UPIN