Provider Demographics
NPI:1578242277
Name:HINKLE, ASHLEY (DMD)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:
Last Name:HINKLE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:KAZMARK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1084 W OAKLAND AVE APT 907
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-2555
Mailing Address - Country:US
Mailing Address - Phone:931-434-6153
Mailing Address - Fax:
Practice Address - Street 1:135 MARKETPLACE BLVD UNIT 11
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-8932
Practice Address - Country:US
Practice Address - Phone:423-434-2421
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN122511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice