Provider Demographics
NPI:1760781397
Name:HINKLE DENTAL ARTS
Entity Type:Organization
Organization Name:HINKLE DENTAL ARTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:M
Authorized Official - Last Name:HINKLE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:614-889-0777
Mailing Address - Street 1:250 W BRIDGE ST
Mailing Address - Street 2:102
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-2123
Mailing Address - Country:US
Mailing Address - Phone:614-889-0777
Mailing Address - Fax:614-889-9255
Practice Address - Street 1:250 W BRIDGE ST
Practice Address - Street 2:102
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-2123
Practice Address - Country:US
Practice Address - Phone:614-889-0777
Practice Address - Fax:614-889-9255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-22
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH187131223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Multi-Specialty