Organization
CRAIG C HINE DDS PC
Active
Other names
HINE DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG CAMERON HINE DDS (PRESIDENT)
(918) 364-4463
Entity
Organization
Contact information
Practice address
12345 S MEMORIAL DR STE 103, BIXBY, OK 74008-2570
(918) 364-4463
(918) 682-8712
Mailing address
12345 S MEMORIAL DR STE 103, BIXBY, OK 74008-2570
(918) 364-4463
(918) 682-8712
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5256
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100118870A
—
OK
Enumeration date
04/23/2008
Last updated
02/07/2017
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