Provider Demographics
NPI:1992060933
Name:HILTON, BRYAN S (DMD)
Entity type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:S
Last Name:HILTON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1620 EASTON AVE
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-5137
Mailing Address - Country:US
Mailing Address - Phone:610-691-6464
Mailing Address - Fax:
Practice Address - Street 1:2223 LINDEN ST STE 102
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-4806
Practice Address - Country:US
Practice Address - Phone:610-691-6464
Practice Address - Fax:610-691-7137
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-05
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2019361223G0001X
PADS0433761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice