Provider Demographics
NPI:1720429210
Name:RINEHART, GINA (DDS)
Entity Type:Individual
Prefix:
First Name:GINA
Middle Name:
Last Name:RINEHART
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:GINA
Other - Middle Name:
Other - Last Name:RINEHART
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:519 S MISSOURI AVE
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-6019
Mailing Address - Country:US
Mailing Address - Phone:956-968-6561
Mailing Address - Fax:
Practice Address - Street 1:519 S MISSOURI AVE
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-6019
Practice Address - Country:US
Practice Address - Phone:956-968-6561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-11
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29092122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist