I-20 Oral Surgery PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

I-20 ORAL SURGERY PLLC

Practice address

2200 W I 20
Suite 300
Arlington, TX 76017-1648

Phone

(817) 962-2318

Fax

(817) 468-7779

NPI assigned

Aug 24, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jed Hildebrand, D.D.S., M.S.D.

Title

Doctor

Phone

(817) 468-4141

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1184091340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 W I 20",
            "address_2": "SUITE 300",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171648",
            "telephone_number": "817-962-2318",
            "fax_number": "817-468-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W I 20",
            "address_2": "SUITE 300",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171648",
            "telephone_number": "817-962-2318",
            "fax_number": "817-468-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I-20 ORAL SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "HILDEBRAND",
        "authorized_official_first_name": "JED",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "817-468-4141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Arlington, TX
• Providers in Arlington, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.