Provider Demographics
NPI:1801196936
Name:HUTCHINSON, PAULA EDWARDS (DDS)
Entity Type:Individual
Prefix:DR
First Name:PAULA
Middle Name:EDWARDS
Last Name:HUTCHINSON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:PAULA
Other - Middle Name:IMAN
Other - Last Name:EDWARDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:1313 NE 125TH ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-5975
Mailing Address - Country:US
Mailing Address - Phone:786-235-5120
Mailing Address - Fax:
Practice Address - Street 1:1313 NE 125TH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-5975
Practice Address - Country:US
Practice Address - Phone:786-235-5120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-22
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 19291122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist