Hine, Craig Cameron
Hine, Craig Cameron is an individual health care provider with primary practice located at 602 S Utica Ave , Tulsa OK 74104-2641. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hine, Craig Cameron can be contacted via phone (918) 585-3744.Contact Information
Primary practice address
602 S Utica Ave
Tulsa OK 74104-2641
Phone: (918) 585-3744
Fax: (185) 853-7749
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 5256 | Oklahoma |
Profile Details
NPI number | 1629076500 |
---|---|
LBN Legal business name | Hine, Craig Cameron |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 13th, 2005 |
Last updated | Sep 10th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1629076500 | NPPES |
Oklahoma | MEDICAID | 100118870A |
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