Provider Demographics
NPI:1346307329
Name:HILDEBRAND, JED CUMMINS (DDS MSD)
Entity Type:Individual
Prefix:DR
First Name:JED
Middle Name:CUMMINS
Last Name:HILDEBRAND
Suffix:
Gender:M
Credentials:DDS MSD
Other - Prefix:
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Mailing Address - Street 1:2200 I-20 WEST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017
Mailing Address - Country:US
Mailing Address - Phone:817-468-4141
Mailing Address - Fax:817-468-7779
Practice Address - Street 1:2200 I-20 WEST
Practice Address - Street 2:#100
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017
Practice Address - Country:US
Practice Address - Phone:817-468-4141
Practice Address - Fax:817-468-7779
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX213231223X0400X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics