Provider Demographics
NPI:1902187644
Name:BHINDER, HINA FAISAL (DMD)
Entity Type:Individual
Prefix:
First Name:HINA
Middle Name:FAISAL
Last Name:BHINDER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5021 NW 34TH ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605
Mailing Address - Country:US
Mailing Address - Phone:352-371-7766
Mailing Address - Fax:352-371-1080
Practice Address - Street 1:5021 NW 34TH ST
Practice Address - Street 2:SUITE A
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605
Practice Address - Country:US
Practice Address - Phone:352-371-7766
Practice Address - Fax:352-371-1080
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-08
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15103122300000X
VA04014133131223G0001X, 122300000X
FLDN19667122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice