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:
Health care specialties
| Specialty | Code | License # | 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 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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