Provider Demographics
NPI:1497049837
Name:HILBERT, HAROLD A (DDS)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:A
Last Name:HILBERT
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 1:910 IOWA AVE
Mailing Address - Street 2:
Mailing Address - City:WISCONSIN DELLS
Mailing Address - State:WI
Mailing Address - Zip Code:53965-1839
Mailing Address - Country:US
Mailing Address - Phone:608-253-4701
Mailing Address - Fax:
Practice Address - Street 1:910 IOWA AVE
Practice Address - Street 2:
Practice Address - City:WISCONSIN DELLS
Practice Address - State:WI
Practice Address - Zip Code:53965-1839
Practice Address - Country:US
Practice Address - Phone:608-253-4701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-02
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6699-15122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist