| John K. Hintz Dds, Ms, Pa | |
|
195 W. Wyoming Ave Hayden ID 83835 | |
| (208) 762-0202 | |
| (208) 762-4398 |
| Full Name | John K. Hintz Dds, Ms, Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 195 W. Wyoming Ave, Hayden, Idaho |
| Authorized Official Name and Position | John K. Hintz (PRESIDENT) |
| Authorized Official Contact | 2087620202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John K. Hintz Dds, Ms, Pa 195 W. Wyoming Ave Hayden ID 83835 Ph: (208) 762-0202 | John K. Hintz Dds, Ms, Pa 195 W. Wyoming Ave Hayden ID 83835 Ph: (208) 762-0202 |
| NPI Number | 1790036705 |
|---|---|
| Provider Enumeration Date | 10/01/2012 |
| Last Update Date | 10/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790036705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | D3370 (Idaho) | Primary |
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