Provider Demographics
NPI:1902170228
Name:HILTON, ROBERT LYLE (DDS)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:LYLE
Last Name:HILTON
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 1:113 RODEO WAY STE 100
Mailing Address - Street 2:
Mailing Address - City:CIBOLO
Mailing Address - State:TX
Mailing Address - Zip Code:78108-3979
Mailing Address - Country:US
Mailing Address - Phone:210-495-2000
Mailing Address - Fax:
Practice Address - Street 1:113 RODEO WAY STE 100
Practice Address - Street 2:
Practice Address - City:CIBOLO
Practice Address - State:TX
Practice Address - Zip Code:78108-3979
Practice Address - Country:US
Practice Address - Phone:210-495-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-05
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX360131223X0008X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No1223X0008XDental ProvidersDentistOral and Maxillofacial Radiology