Provider Demographics
NPI:1811052459
Name:HILTON, DAN P (DDS)
Entity type:Individual
Prefix:DR
First Name:DAN
Middle Name:P
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 1:20969 VENTURA BLVD
Mailing Address - Street 2:7
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364
Mailing Address - Country:US
Mailing Address - Phone:818-347-3971
Mailing Address - Fax:818-888-6366
Practice Address - Street 1:20969 VENTURA BLVD
Practice Address - Street 2:7
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364
Practice Address - Country:US
Practice Address - Phone:818-347-3971
Practice Address - Fax:818-888-6366
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2015-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33590122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist