Provider Demographics
NPI:1780830893
Name:HINKEL, RONALD NORMAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:NORMAN
Last Name:HINKEL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1435 UNION ST
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47904-2059
Mailing Address - Country:US
Mailing Address - Phone:765-423-1551
Mailing Address - Fax:765-423-1552
Practice Address - Street 1:1435 UNION ST
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47904-2059
Practice Address - Country:US
Practice Address - Phone:765-423-1551
Practice Address - Fax:765-423-1552
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-09
Last Update Date:2008-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12007998A122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist