Healthcare Provider Details

I. General information

NPI: 1144176306
Provider Name (Legal Business Name): DYLAN HINTENACH DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2026
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9300 LIVINGSTON RD STE 100
FORT WASHINGTON MD
20744-4923
US

IV. Provider business mailing address

9300 LIVINGSTON RD STE 100
FORT WASHINGTON MD
20744-4923
US

V. Phone/Fax

Practice location:
  • Phone: 301-203-6734
  • Fax: 240-766-0301
Mailing address:
  • Phone: 301-203-6734
  • Fax: 240-766-0301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0104558169
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: