MEDICARE: DR. STEVEN F HINCHEY D.M.D.

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	1223G0001X	General Practice Dentistry	CT5583	CT

General Provider Information

NPI Number	:	1558307488
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN F HINCHEY D.M.D.

Provider Business Mailing Address
First Line	:	295 CHIMNEY SWEEP HILL RD
Second Line	:
City	:	GLASTONBURY
State	:	CT
Zip	:	06033-3903
Country	:	US
Telephone Number	:	860-633-8193
Fax Number	:	860-659-5726

Provider Business Practice Location Address
First Line	:	2249 NEW LONDON TPKE
Second Line	:
City	:	SOUTH GLASTONBURY
State	:	CT
Zip	:	06073-2627
Country	:	US
Telephone Number	:	860-633-6518
Fax Number	:	860-659-5726

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

Provider Enumeration Date	:	06/20/2006
Last Update Date	:	07/08/2007

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