David Michael Hildreth, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN014423 Issued in GA

Practice address

2430 Powell PL NW
Kennesaw, GA 30144-3567

Phone

(770) 424-1705

NPI assigned

Jun 26, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• DTJG Dental Group LLC

  • Dental Clinic/Center
  • Kennesaw, GA
  • NPI 1700429115
  NPD Authorized official
• Amason Family Dentistry

  • General Practice Dentistry
  • Kennesaw, GA
  • NPI 1679001630
  NPD
• Michael H Mulkey, DMD PC

  • General Practice Dentistry
  • Marietta, GA
  • NPI 1245760859
  NPD (past)

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1073877825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 POWELL PL NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301443567",
            "telephone_number": "770-424-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 POWELL PL NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301443567",
            "telephone_number": "770-424-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILDRETH",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-26",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark R Hester, OD
• Christy Francis Hewling, MD
• Patricia Hicks, LPC, NCC
• David Higdon Jr., PHARM.D.
• Savannah Kaye Higdon
• Mary Margaret Hill, LPC
• Monique Hill
• Orlando Hill, CRT
• Summer Larae Hill, PA
• Misty Hinds

• General Practice Dentistry in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.