NPIMap

Hildale Dental

Organization Active NPI General Practice Dentistry · Hildale, UT

NPI 1750091948 · NPPES record last updated Mar 2, 2026

Key facts

NPI
1750091948
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
HILDALE DENTAL
Practice address
1080 W Utah Ave
Hildale, UT 84784
Phone
(435) 218-7172
Fax
(435) 200-9416
NPI assigned
Nov 29, 2022
Organization subpart
No

Authorized official

Name
Dr. Robert R Perry, DDS
Title
Owner
Phone
(435) 218-7172

Practitioners 2

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

National Provider Directory

Locations

1080 W Utah Ave
Hildale, UT 84784
Phone (435) 218-7172

1080 W Utah Ave
#841632
Hildale, UT 84784

Interoperability endpoints

  • Direct secure messaging: hildaledental@hildale.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 1223G0001X Yes

Addresses

Primary practice location

1080 W Utah Ave
Hildale, UT 84784

Mailing address

PO Box 841632
Hildale, UT 84784
Phone (435) 218-7172

Other identifiers

IdentifierTypeStateIssuer
1092154MedicaidAZ
210532MedicaidAZ

Other names

  • Hildale Dental Former legal business name

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address Hildaledental@hildale.com Direct

Other providers in Hildale, UT

All providers in Hildale, UT · General Practice Dentistry in Utah

Sources for this page

Verify at the official NPI Registry.