MR. LARRY KEITH HILDEBRAND (NPI# 1033211081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033211081 |
| Entity Type | Individual |
| Full Name | MR. LARRY KEITH HILDEBRAND |
| Credential | DDS MS |
| Practice Address |
1242 Washington Ave Huntington WV 25704 |
| Practice Telephone | 3045292880 |
| Practice Fax Number | 3045292888 |
| Mailing Telephone | 3045292880 |
| Mailing Fax Number | 3045292888 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
25046 | WV | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457489775 | Larry Jay Hildebrand | Pharmacist | 27 Main St 47, Marengo, OH 43334 | 2007-02-28 |
| Street Address |
1242 WASHINGTON AVE |
| City | HUNTINGTON |
| State | WV |
| Zip Code | 25704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354161 | Sherry Jean Short | Technician | 315 1/2 W 13th Street, Huntington, WV 25704 | 2020-10-22 |
| 1063029940 | Kathern Sullivan | Technician | 2950 Apt. B1 Auburn Rd, Huntington, WV 25704 | 2020-09-25 |
| 1932713229 | John Webb | Technician | 3717 Lot 17 Rte. 75, Huntington, WV 25704 | 2020-09-03 |
| 1679114458 | Betty Bentley | Technician | 1588 Spring Valley Drive, Huntington, WV 25704 | 2019-10-03 |
| 1568948958 | Jessica E Hall | Assistant Behavior Analyst | 4614 Waverly Road, Huntington, WV 25704 | 2018-07-18 |
| 1538662457 | Abayomi Adeyi | Nurse Practitioner | Huntington Va Medical Center 1540 Spring Valley Drive, Huntington, WV 25704 | 2018-03-16 |
| 1851807242 | Shirley Meldave Ross | Technician | 1591 Buffalo Creek Road, Huntington, WV 25704 | 2017-12-20 |
| 1245772045 | Emily Marie Miller | Massage Therapist | 3637 Hughes St, Huntington, WV 25704 | 2016-11-09 |
| 1265785737 | William M Jennings IIi | Internal Medicine | 1448 10th Avenue, Suite 100, Huntington, WV 25704 | 2012-10-22 |
| 1477709921 | Huntington Va Medical Center | General Acute Care Hospital | 540 Spring Valley Dr, Huntington, WV 25704 | 2008-08-15 |
| Find all providers in zip 25704 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851521900 | Nader Azizi | Dentist | 124 Main St Ste 4, Huntington, NY 11743 | 2009-07-23 |
| 1558413559 | Richard Lloyd Marcus | Dentist | 23 Southdown Rd, Huntington, NY 11743-2538 | 2007-01-18 |
| 1124018064 | Edward Isaac | Dentist | 124 Main St, Suite #4, Huntington, NY 11743-6922 | 2005-10-23 |
| 1699133470 | Marcus Dental Care Pllc | Dentist | 23 Southdown Rd, Huntington, NY 11743-2538 | 2016-02-08 |
| 1548697063 | Ariella Spodek | Dentist | 23 Southdown Rd, Huntington, NY 11743-2538 | 2013-09-29 |
| 1235424169 | Dr. Christopher L Hugh, Inc | Dentist | 2674 5th Ave, Huntington, WV 25702-1329 | 2011-06-20 |
| 1457491623 | Stephen Irwin Shore | Dentist | 14 W Neck Rd, Huntington, NY 11743-2619 | 2007-02-07 |
| 1881746808 | Philip Zaveloff | Dentist | 23 Southdown Rd, Huntington, NY 11743-2538 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871085787 | Jeffrey G. Minchau, Dds, Ms, Inc. | Dentist | 2601 Dudley Avenue, Bldg. 1, Parkersburg, WV 26101 | 2018-06-06 |
| 1992297733 | Jeffrey G Minchau Dds Ms | Dentist | 9000 Coombs Farm Dr, Ste 304, Morgantown, WV 26508 | 2018-06-06 |
| 1164710562 | Ernest Stephen Fragale | Dentist | 405 Capitol St Ste 914, Charleston, WV 25301-1744 | 2011-07-19 |
| 1578728457 | Lauren Pectyo Namsupak | Dentist | 3412 University Ave, Morgantown, WV 26505-7220 | 2008-07-21 |
| 1073780284 | Michael Blaine Loftis | Dentist | 225 College Pkwy, Suite 103, Parkersburg, WV 26104-7655 | 2008-05-15 |
| 1104091370 | Johnathon Grant Winkler | Dentist | 3873 Robert C Byrd Dr, Beckley, WV 25801-2964 | 2008-04-28 |
| 1568648905 | Jamie Michele Day | Dentist | 106 Cambridge Pl, Bridgeport, WV 26330-2812 | 2008-01-16 |
| 1174721393 | Kent Alexander Mcbride | Dentist | 2401 Cranberry Sq, Morgantown, WV 26508-9209 | 2007-07-10 |
| 1689895815 | Jeffrey Gary Minchau | Dentist | 2401 Cranberry Square, Morgantown, WV 26508 | 2007-05-02 |
| 1083787097 | Lori L Gochenour | Dentist | 113a Tavern Road, Martinsburg, WV 25401 | 2006-11-16 |
| Find all providers with the same taxonomy | ||||
| City | HUNTINGTON |
| Zip Code | 25704 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.