Provider Demographics
NPI:1215052311
Name:DR FRANK B HINES III PA
Entity type:Organization
Organization Name:DR FRANK B HINES III PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:B
Authorized Official - Last Name:HINES
Authorized Official - Suffix:III
Authorized Official - Credentials:DMD
Authorized Official - Phone:803-359-3733
Mailing Address - Street 1:605 NORTHWOOD ROAD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-2129
Mailing Address - Country:US
Mailing Address - Phone:803-359-3733
Mailing Address - Fax:803-359-6048
Practice Address - Street 1:605 NORTHWOOD ROAD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-2829
Practice Address - Country:US
Practice Address - Phone:803-359-3733
Practice Address - Fax:803-359-6048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2180122300000X
SC02411223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered122300000XDental ProvidersDentistGroup - Multi-Specialty
Not Answered1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty