Provider Demographics
NPI:1053829887
Name:YIN HILDESHEIM, DMD, P.A.
Entity Type:Organization
Organization Name:YIN HILDESHEIM, DMD, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HILDESHEIM
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:501-568-6253
Mailing Address - Street 1:10912 COLONEL GLENN RD STE 3500
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72204-8241
Mailing Address - Country:US
Mailing Address - Phone:801-568-6253
Mailing Address - Fax:
Practice Address - Street 1:10912 COLONEL GLENN RD STE 3500
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72204-8241
Practice Address - Country:US
Practice Address - Phone:801-568-6253
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-15
Last Update Date:2018-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty