Todd Hilburn DDS, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

TODD HILBURN DDS, LLC

Doing business as

River Dental

Practice address

1107 Glenwood Dr
West Monroe, LA 71291-5503

Phone

(318) 340-1003

Fax

(318) 340-1006

NPI assigned

Dec 28, 2021

Last updated

Dec 28, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Larry Todd Hilburn, DDSNPI 1295837649

Title

Doctor/Owner

Phone

(318) 340-1003

Specialties & licenses 1

Addresses

Other names 1

• River Dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Larry Todd Hilburn, DDS

  • Dentist
  • West Monroe, LA
  • NPI 1295837649
  NPD Authorized official

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1881354249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 GLENWOOD DR",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915503",
            "telephone_number": "318-340-1003",
            "fax_number": "318-340-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 GLENWOOD DR",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915503",
            "telephone_number": "318-340-1003",
            "fax_number": "318-340-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD HILBURN DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-03",
        "status": "A",
        "authorized_official_last_name": "HILBURN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "318-340-1003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in West Monroe, LA
• Providers in West Monroe, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.