Provider Demographics
NPI:1720208689
Name:HINTON, SANDRA LOUISE (RDH)
Entity Type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:LOUISE
Last Name:HINTON
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8258 S SICILY CT
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-7196
Mailing Address - Country:US
Mailing Address - Phone:303-362-0504
Mailing Address - Fax:303-362-0504
Practice Address - Street 1:22651 E AURORA PKWY UNIT A5
Practice Address - Street 2:EAGLE BEND MARKETPLACE
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-6086
Practice Address - Country:US
Practice Address - Phone:303-617-0303
Practice Address - Fax:303-617-0603
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2244124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist