Joseph M Hildebrand DDS PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2901013563 Issued in MI

Legal business name

JOSEPH M HILDEBRAND DDS PC

Practice address

45424 Van Dyke Ave
Utica, MI 48317-5676

Phone

(586) 731-9050

Fax

(586) 731-9056

NPI assigned

Dec 11, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joseph M Hildebrand, DDSNPI 1841272754

Title

Owner

Phone

(586) 731-9050

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph M Hildebrand, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Shelby Township, MI
  • NPI 1841272754

  MI

  Medicare reassignment Authorized official
• Hadi Khazaal, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Shelby Township, MI
  • NPI 1407413180

  Oral and Maxillofacial Surgery

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418256000000",
    "number": "1023416732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45424 VAN DYKE AVE",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175676",
            "telephone_number": "586-731-9050",
            "fax_number": "586-731-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45424 VAN DYKE AVE",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175676",
            "telephone_number": "586-731-9050",
            "fax_number": "586-731-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH M HILDEBRAND DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-11",
        "last_updated": "2014-12-11",
        "status": "A",
        "authorized_official_last_name": "HILDEBRAND",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-731-9050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901013563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Independent Opportunities of Michigan, Inc
• Anetia Kay Isbell, LPC, CRC, BSW, C.HT
• John M. Fredal, D.D.S P.C
• Carol A. Johns, PH.D.
• Krysti Eliana Jones, LLMSW
• Hannah Kaganac, PHD, LLP
• Catherine Kattoula, LPC
• Keith a Brennan DC PLLC
• Ghaida Khodher, MD
• Kidney and Vascular Associates PC

• All providers in Utica, MI
• Oral and Maxillofacial Surgery (Dentist) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.