Provider Demographics
NPI:1932245537
Name:COCCO, DINA HINKLEY (DDS)
Entity Type:Individual
Prefix:DR
First Name:DINA
Middle Name:HINKLEY
Last Name:COCCO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:DINA
Other - Middle Name:KAY
Other - Last Name:HINKLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:815 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104
Mailing Address - Country:US
Mailing Address - Phone:734-668-8636
Mailing Address - Fax:
Practice Address - Street 1:815 CHURCH ST
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104
Practice Address - Country:US
Practice Address - Phone:734-668-8636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI0153261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice