Healthcare Provider Details

I. General information

NPI: 1902187644
Provider Name (Legal Business Name): HINA FAISAL BHINDER D.M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2011
Last Update Date: 07/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5021 NW 34TH ST SUITE A
GAINESVILLE FL
32605
US

IV. Provider business mailing address

5021 NW 34TH ST SUITE A
GAINESVILLE FL
32605
US

V. Phone/Fax

Practice location:
  • Phone: 352-371-7766
  • Fax: 352-371-1080
Mailing address:
  • Phone: 352-371-7766
  • Fax: 352-371-1080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number15103
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number0401413313
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number0401413313
License Number StateVA
# 4
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN19667
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: