Provider Demographics
NPI:1740893775
Name:HINO, DOROTHY (DDS)
Entity type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:
Last Name:HINO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3306 PRINCETON AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75205-3314
Mailing Address - Country:US
Mailing Address - Phone:214-926-1114
Mailing Address - Fax:
Practice Address - Street 1:3110 WEBB AVE STE 300
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75205-3445
Practice Address - Country:US
Practice Address - Phone:214-528-7870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-28
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX365811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice