Individual
DR. JOSEPH M HILDEBRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
50154 SCHOENHERR RD, SHELBY TOWNSHIP, MI 48315-3136
(586) 731-9050
(586) 731-9056
Mailing address
50154 SCHOENHERR RD, SHELBY TOWNSHIP, MI 48315-3136
(586) 731-9050
(586) 731-9056
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901013563
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2773480
—
MI
05
—
2990552
—
MI
01
—
970F31085
BLUE CROSS BLUE SHIELD
MI
01
—
JH013563
LICENSE NUMBER
MI
Enumeration date
11/16/2005
Last updated
07/03/2019
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