Provider Demographics
NPI:1316145501
Name:HILO, DAN B (DDS)
Entity type:Individual
Prefix:
First Name:DAN
Middle Name:B
Last Name:HILO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 E ARMY TRAIL RD STE A
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:IL
Mailing Address - Zip Code:60103-3005
Mailing Address - Country:US
Mailing Address - Phone:630-830-5830
Mailing Address - Fax:
Practice Address - Street 1:260 E ARMY TRAIL RD STE A
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:IL
Practice Address - Zip Code:60103-3005
Practice Address - Country:US
Practice Address - Phone:630-830-5830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice