Provider Demographics
NPI:1003828302
Name:HILTON, MYRON S (DDS, MPH)
Entity Type:Individual
Prefix:DR
First Name:MYRON
Middle Name:S
Last Name:HILTON
Suffix:
Gender:M
Credentials:DDS, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4500 MEMORIAL CIR
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73142-5003
Mailing Address - Country:US
Mailing Address - Phone:405-748-6000
Mailing Address - Fax:405-749-5900
Practice Address - Street 1:4500 MEMORIAL CIR
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73142-5003
Practice Address - Country:US
Practice Address - Phone:405-748-6000
Practice Address - Fax:405-749-5900
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK44741223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics