Hildahl, Byron Theodore

Hildahl, Byron Theodore is an individual health care provider with primary practice located at 707 W Francis Ave Suite 200, Spokane WA 99205-6401. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Hildahl, Byron Theodore can be contacted via phone (509) 327-3368.

Contact Information

Primary practice address
707 W Francis Ave Suite 200 Spokane WA 99205-6401
Phone: (509) 327-3368
Fax: (509) 325-2712
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 3818 Washington

Profile Details

NPI number 1811945348
LBN Legal business name Hildahl, Byron Theodore
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jul 9th, 2007 - about 17 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 1811945348 NPPES
Washington Other 3517 DELTA PROVIDER NUMBER
Washington Other 136630 DELTA PROVIDER NUMBER
Washington Other 804444 DELTA PROVIDER NUMBER
Washington MEDICAID 5012059 DELTA PROVIDER NUMBER

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