Provider Demographics
NPI:1750696480
Name:HILTON, WILLIAM R (DDS)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:R
Last Name:HILTON
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 1:1050 S 8TH ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80905-7307
Mailing Address - Country:US
Mailing Address - Phone:719-633-8455
Mailing Address - Fax:719-633-7197
Practice Address - Street 1:1050 S 8TH ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80905-7307
Practice Address - Country:US
Practice Address - Phone:719-633-8455
Practice Address - Fax:719-633-7197
Is Sole Proprietor?:No
Enumeration Date:2010-08-18
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1063221223G0001X
NV07041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice