Provider Demographics
NPI:1154519353
Name:HINGHAM DENTISTRY, P.C.
Entity type:Organization
Organization Name:HINGHAM DENTISTRY, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAHINIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:781-740-0100
Mailing Address - Street 1:169 LINCOLN ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-4640
Mailing Address - Country:US
Mailing Address - Phone:781-740-0100
Mailing Address - Fax:781-740-4590
Practice Address - Street 1:169 LINCOLN ST
Practice Address - Street 2:SUITE 101
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-4640
Practice Address - Country:US
Practice Address - Phone:781-740-0100
Practice Address - Fax:781-740-4590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-12
Last Update Date:2007-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Multi-Specialty
No1223E0200XDental ProvidersDentistEndodonticsGroup - Multi-Specialty
No1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty