Provider Demographics
NPI:1528032000
Name:HUTCHINS, NADINE MARIE (DDS)
Entity Type:Individual
Prefix:
First Name:NADINE
Middle Name:MARIE
Last Name:HUTCHINS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2352 N 7TH ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-8168
Mailing Address - Country:US
Mailing Address - Phone:970-242-7373
Mailing Address - Fax:
Practice Address - Street 1:2352 N 7TH ST
Practice Address - Street 2:SUITE 4
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-8168
Practice Address - Country:US
Practice Address - Phone:970-242-7373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO73611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice