Provider Demographics
NPI:1922206986
Name:HINTZ, CHARLES STUEBE SR (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:STUEBE
Last Name:HINTZ
Suffix:SR
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 1:2000 S BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:NEW ULM
Mailing Address - State:MN
Mailing Address - Zip Code:56073-3910
Mailing Address - Country:US
Mailing Address - Phone:507-354-2324
Mailing Address - Fax:
Practice Address - Street 1:2000 S BROADWAY ST
Practice Address - Street 2:
Practice Address - City:NEW ULM
Practice Address - State:MN
Practice Address - Zip Code:56073-3910
Practice Address - Country:US
Practice Address - Phone:507-354-2324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND108311223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery