Provider Demographics
NPI:1205161023
Name:HINDERSTEIN, BARRY (DDS, PHD)
Entity type:Individual
Prefix:
First Name:BARRY
Middle Name:
Last Name:HINDERSTEIN
Suffix:
Gender:M
Credentials:DDS, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 IRIS ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2705
Mailing Address - Country:US
Mailing Address - Phone:828-259-9000
Mailing Address - Fax:828-251-2067
Practice Address - Street 1:2 IRIS ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2705
Practice Address - Country:US
Practice Address - Phone:828-259-9000
Practice Address - Fax:828-251-2067
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-13
Last Update Date:2009-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC67841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
1659380103OtherNPI GROUP NUMBER