Provider Demographics
NPI:1851311591
Name:HINSON, R LEE JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:R
Middle Name:LEE
Last Name:HINSON
Suffix:JR
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 1:9007 KANIS RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-6415
Mailing Address - Country:US
Mailing Address - Phone:501-565-0949
Mailing Address - Fax:501-565-6888
Practice Address - Street 1:9007 KANIS RD
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6415
Practice Address - Country:US
Practice Address - Phone:150-156-5094
Practice Address - Fax:501-565-6888
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR25521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice