Provider Demographics
NPI:1821384447
Name:HILTON HESS DENTAL
Entity Type:Organization
Organization Name:HILTON HESS DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, HILTON HEAD DENTAL
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:LAWLESS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:843-681-6200
Mailing Address - Street 1:222 PEMBROKE DRIVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29926-6202
Mailing Address - Country:US
Mailing Address - Phone:843-681-6200
Mailing Address - Fax:843-681-8030
Practice Address - Street 1:222 PEMBROKE DRIVE
Practice Address - Street 2:SUITE 102
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29926-6202
Practice Address - Country:US
Practice Address - Phone:843-681-6200
Practice Address - Fax:843-681-8030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-22
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCSC4002122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty