Individual
DR. BRIANNA NICHOLE HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
947 S LAKE BLVD STE A, MAHOPAC, NY 10541-3255
(845) 621-2424
(845) 621-1360
Mailing address
947 S LAKE BLVD, MAHOPAC, NY 10541-3254
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
062424-01
NY
1223P0221X
Pediatric Dentistry
13940
CT
Other
Enumeration date
06/03/2020
Last updated
09/30/2025
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