Provider Demographics
NPI:1538585278
Name:HOWARD G HINDIN AND JEFFREY S. HINDIN DDS PC
Entity type:Organization
Organization Name:HOWARD G HINDIN AND JEFFREY S. HINDIN DDS PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:G
Authorized Official - Last Name:HINDIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:845-357-1595
Mailing Address - Street 1:2 EXECUTIVE BLVD
Mailing Address - Street 2:SUITE #206
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-4164
Mailing Address - Country:US
Mailing Address - Phone:845-357-1595
Mailing Address - Fax:845-357-2428
Practice Address - Street 1:2 EXECUTIVE BLVD
Practice Address - Street 2:SUITE #206
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-4164
Practice Address - Country:US
Practice Address - Phone:845-357-1595
Practice Address - Fax:845-357-2428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-05
Last Update Date:2014-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY045147122300000X
NY0269741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
No122300000XDental ProvidersDentistGroup - Single Specialty