Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERRY L. HILDEBRAND JR., D.D.S.
Active Sole ProprietorDERRY L. HILDEBRAND JR., D.D.S. is a Dentist healthcare provider located in PORTOLA, California. NPI 1114175817 is currently active in the NPPES registry. Verify at CMS.
Dentist · PORTOLA, CA
Registration Details
- NPI Number
- 1114175817
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 5, 2008 (17.938085362729 yrs)
- Last Updated
- Oct 5, 2009
- License
-
19626 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
296 W SIERRA AVE.STE 1PORTOLA, CA, 961228627Browse CA providers · Browse ZIP 96122
- Phone
- 5308320200
- Fax
- 5308320900
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in PORTOLA, CA
| Name | Credential | NPI |
|---|---|---|
| DR. MARIO G. GARIBOTTI | DDS | 1750481594 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.