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NPI Code Detail

MEDICARE: DOUGLAS EARL HINSHAW BS DDS

MEDICARE: DOUGLAS EARL HINSHAW BS 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
11223G0001XGeneral Practice Dentistry5888KS

General Provider Information

NPI Number : 1386648707
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOUGLAS EARL HINSHAW BS DDS
Provider Business Mailing Address
First Line : 239 N BROADWAY AVE
Second Line :
City : STERLING
State : KS
Zip : 67579-1916
Country : US
Telephone Number : 620-278-2150
Fax Number :
Provider Business Practice Location Address
First Line : 239 N BROADWAY AVE
Second Line :
City : STERLING
State : KS
Zip : 67579-1916
Country : US
Telephone Number : 620-278-2150
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2005
Last Update Date : 10/18/2010

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