Provider Demographics
NPI:1962542852
Name:COLLINS, F.H. III (DDS)
Entity type:Individual
Prefix:DR
First Name:F.H.
Middle Name:
Last Name:COLLINS
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:FAY
Other - Middle Name:HEMPSTEAD
Other - Last Name:COLLINS
Other - Suffix:III
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:5744 CANTON CV
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-5034
Mailing Address - Country:US
Mailing Address - Phone:407-699-9831
Mailing Address - Fax:407-699-9896
Practice Address - Street 1:5744 CANTON CV
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-5034
Practice Address - Country:US
Practice Address - Phone:407-699-9831
Practice Address - Fax:407-699-9896
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN15637122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist