Provider Demographics
NPI:1477765642
Name:HILDEBRAND, SLOAN WESLEY (DDS)
Entity Type:Individual
Prefix:DR
First Name:SLOAN
Middle Name:WESLEY
Last Name:HILDEBRAND
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 1:16910 DALLAS PKWY
Mailing Address - Street 2:SUITE 210
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-1911
Mailing Address - Country:US
Mailing Address - Phone:972-931-0681
Mailing Address - Fax:972-931-0684
Practice Address - Street 1:16910 DALLAS PKWY
Practice Address - Street 2:SUITE 210
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248-1911
Practice Address - Country:US
Practice Address - Phone:972-931-0681
Practice Address - Fax:972-931-0684
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX203911223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics