MEDICARE: DR. DAVID M HINTON D.D.S.

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	DN09628	FL

General Provider Information

NPI Number	:	1861495764
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID M HINTON D.D.S.

Provider Business Mailing Address
First Line	:	7575 DR PHILLIPS BLVD
Second Line	:	STE 160
City	:	ORLANDO
State	:	FL
Zip	:	32819-7220
Country	:	US
Telephone Number	:	407-363-0365
Fax Number	:

Provider Business Practice Location Address
First Line	:	7575 DR PHILLIPS BLVD
Second Line	:	STE 160
City	:	ORLANDO
State	:	FL
Zip	:	32819-7220
Country	:	US
Telephone Number	:	407-363-0365
Fax Number	:

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

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	07/08/2007

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