Provider Demographics
NPI:1275394769
Name:DENTX LLC
Entity Type:Organization
Organization Name:DENTX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DARREL
Authorized Official - Middle Name:
Authorized Official - Last Name:HILLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:787-505-3350
Mailing Address - Street 1:PO BOX 360458
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-0458
Mailing Address - Country:US
Mailing Address - Phone:787-751-6324
Mailing Address - Fax:787-751-6324
Practice Address - Street 1:576 CALLE CESAR GONZALEZ STE 407
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-3758
Practice Address - Country:US
Practice Address - Phone:787-505-3350
Practice Address - Fax:787-751-6324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental