Provider Demographics
NPI:1427480250
Name:REFLECTIONS DENTAL, PC
Entity type:Organization
Organization Name:REFLECTIONS DENTAL, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:GORDON
Authorized Official - Last Name:HILDEBRANDT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:602-843-3556
Mailing Address - Street 1:6003 W THUNDERBIRD RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85306-4004
Mailing Address - Country:US
Mailing Address - Phone:602-843-3556
Mailing Address - Fax:
Practice Address - Street 1:6003 W THUNDERBIRD RD
Practice Address - Street 2:SUITE 2
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85306-4004
Practice Address - Country:US
Practice Address - Phone:602-843-3556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-02
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental