Provider Demographics
NPI:1720289549
Name:HILAL, GEORGE E (DMD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:E
Last Name:HILAL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 LA PROMESA CIR
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79765-8918
Mailing Address - Country:US
Mailing Address - Phone:502-298-5490
Mailing Address - Fax:
Practice Address - Street 1:1508 N GRANDVIEW AVE STE 1
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79761-3040
Practice Address - Country:US
Practice Address - Phone:432-367-0401
Practice Address - Fax:432-550-2427
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS008422122300000X
TX253191223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
No122300000XDental ProvidersDentist