MEDICARE: PAUL HINDER DDS PLLC

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	332BC3200X	Customized Equipment (DME)	DN 15567	FL

General Provider Information

NPI Number	:	1427340900
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAUL HINDER DDS PLLC

Provider Business Mailing Address
First Line	:	228 3RD AVE N
Second Line	:	SUITE 200
City	:	JACKSONVILLE BEACH
State	:	FL
Zip	:	32250-7013
Country	:	US
Telephone Number	:	904-247-3074
Fax Number	:	904-247-3078

Provider Business Practice Location Address
First Line	:	228 3RD N.
Second Line	:	SUITE 200
City	:	JACKSONVILLE BEACH
State	:	FL
Zip	:	32250-7013
Country	:	US
Telephone Number	:	904-247-3074
Fax Number	:	904-247-3078

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. PAUL R HINDER
Credential	:	DDS
Telephone Number	:	904-247-3074

Provider Enumeration Date	:	05/03/2011
Last Update Date	:	01/05/2015

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