Provider Demographics
NPI:1477651859
Name:GOLDREICH, HILTON NEIL (DDS, MS, PA)
Entity Type:Individual
Prefix:DR
First Name:HILTON
Middle Name:NEIL
Last Name:GOLDREICH
Suffix:
Gender:M
Credentials:DDS, MS, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2204 BRADBURY CT
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-4351
Mailing Address - Country:US
Mailing Address - Phone:214-403-4458
Mailing Address - Fax:
Practice Address - Street 1:3105 LEGACY DR STE A
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-8330
Practice Address - Country:US
Practice Address - Phone:972-618-6611
Practice Address - Fax:972-692-5868
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX168321223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics