Provider Demographics
NPI:1164220224
Name:HEART OF HINGHAM DENTAL, PLLC
Entity type:Organization
Organization Name:HEART OF HINGHAM DENTAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDHU KUPKE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:407-907-5767
Mailing Address - Street 1:350 BEAL ST APT 2350
Mailing Address - Street 2:
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-1885
Mailing Address - Country:US
Mailing Address - Phone:407-907-5767
Mailing Address - Fax:
Practice Address - Street 1:7 CENTRAL ST
Practice Address - Street 2:
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-2512
Practice Address - Country:US
Practice Address - Phone:407-907-5767
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental