Provider Demographics
NPI:1922263912
Name:VAN HILSEN, ZACHARY X (DDS)
Entity Type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:X
Last Name:VAN HILSEN
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 1:8301 E PRENTICE AVE STE 215
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2990
Mailing Address - Country:US
Mailing Address - Phone:720-606-4220
Mailing Address - Fax:720-606-4221
Practice Address - Street 1:8301 E PRENTICE AVE STE 215
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2990
Practice Address - Country:US
Practice Address - Phone:720-606-4220
Practice Address - Fax:720-606-4221
Is Sole Proprietor?:No
Enumeration Date:2008-07-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COGEN.027861191223D0004X
OH30.0239111223P0221X
MND128831223P0221X
TX241641223P0221X
CODEN.002025001223P0221X
CO002025001223P0221X, 1223D0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0004XDental ProvidersDentistDentist Anesthesiologist
No1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO13350056Medicaid