Individual provider · Type 1 NPI
Diane Ingram Hines, DDS
General Practice Dentistry · Detroit, MI
NPI number
1255418471
Active
Practice location
12645 Gratiot Ave
Detroit, MI 48205-3952
Fax (313) 527-9022
Mailing address
19500 Cumberland Way
Detroit, MI 48203-5501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 13470 (MI) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2 other providers at this address
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- Matthew Lynn Gray, D.D.SGeneral Practice Dentistry Detroit, MI NPI 1043594773
- Angela Melody-Oska Douglas, D.D.SGeneral Practice Dentistry Detroit, MI NPI 1043696552
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About NPI 1255418471
Diane Ingram Hines, DDS's National Provider Identifier is 1255418471, issued on Nov 1, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Detroit, MI. The record was last updated on Jul 8, 2007.