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:
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Health care specialties

SpecialtyCodeLicense #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 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629076500 NPPES
Oklahoma MEDICAID 100118870A

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