Provider Demographics
NPI:1629507686
Name:HINDMAN, JOSHUA MICHAEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:MICHAEL
Last Name:HINDMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:MR
Other - First Name:JOSHUA
Other - Middle Name:MICHAEL
Other - Last Name:HINDMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4220 SERGEANT RD STE 100
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51106-4648
Mailing Address - Country:US
Mailing Address - Phone:712-274-2228
Mailing Address - Fax:
Practice Address - Street 1:4220 SERGEANT RD STE 100
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51106-4648
Practice Address - Country:US
Practice Address - Phone:712-274-2228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-05
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IADDS-09404122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist