Provider Demographics
NPI:1053445379
Name:HILGER, DEAN MORGAN (DDS)
Entity Type:Individual
Prefix:
First Name:DEAN
Middle Name:MORGAN
Last Name:HILGER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2420 MAIN STREET
Mailing Address - Street 2:SU1
Mailing Address - City:CAMBRIA
Mailing Address - State:CA
Mailing Address - Zip Code:93428-3406
Mailing Address - Country:US
Mailing Address - Phone:805-927-4609
Mailing Address - Fax:805-927-1799
Practice Address - Street 1:2420 MAIN ST
Practice Address - Street 2:SU1
Practice Address - City:CAMBRIA
Practice Address - State:CA
Practice Address - Zip Code:93428-3406
Practice Address - Country:US
Practice Address - Phone:805-927-4609
Practice Address - Fax:805-927-1799
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA245551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice