MEDICARE: DR. RONALD NORMAN HINKEL DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	12007998A	IN

General Provider Information

NPI Number	:	1780830893
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD NORMAN HINKEL DDS

Provider Business Mailing Address
First Line	:	1435 UNION ST
Second Line	:
City	:	LAFAYETTE
State	:	IN
Zip	:	47904-2059
Country	:	US
Telephone Number	:	765-423-1551
Fax Number	:	765-423-1552

Provider Business Practice Location Address
First Line	:	1435 UNION ST
Second Line	:
City	:	LAFAYETTE
State	:	IN
Zip	:	47904-2059
Country	:	US
Telephone Number	:	765-423-1551
Fax Number	:	765-423-1552

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2008
Last Update Date	:	08/09/2008

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