Provider Demographics
NPI:1902878085
Name:HINCKS, DAVID B (DDS)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:B
Last Name:HINCKS
Suffix:
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 1:425 E 5350 S
Mailing Address - Street 2:SUITE 385
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84405-6946
Mailing Address - Country:US
Mailing Address - Phone:801-479-1181
Mailing Address - Fax:801-479-1182
Practice Address - Street 1:425 E 5350 S
Practice Address - Street 2:SUITE 385
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84405-6946
Practice Address - Country:US
Practice Address - Phone:801-479-1181
Practice Address - Fax:801-479-1182
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2683061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice