Provider Demographics
NPI:1730204132
Name:HILTON-DIMINICK ORTHODONTIC ASSOCIATES, PC
Entity type:Organization
Organization Name:HILTON-DIMINICK ORTHODONTIC ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:HILTON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:717-761-3402
Mailing Address - Street 1:3412 TRINDLE RD
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-4436
Mailing Address - Country:US
Mailing Address - Phone:717-761-3402
Mailing Address - Fax:
Practice Address - Street 1:3412 TRINDLE RD
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-4436
Practice Address - Country:US
Practice Address - Phone:717-761-3402
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0234351223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty