MEDICARE: DR. ROSS ALAN HILDEBRAND D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	5811	KS

General Provider Information

NPI Number	:	1093718744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROSS ALAN HILDEBRAND D.D.S.

Provider Business Mailing Address
First Line	:	3822 6TH ST
Second Line	:
City	:	GREAT BEND
State	:	KS
Zip	:	67530-9733
Country	:	US
Telephone Number	:	620-792-1231
Fax Number	:	620-792-5146

Provider Business Practice Location Address
First Line	:	3822 6TH ST
Second Line	:
City	:	GREAT BEND
State	:	KS
Zip	:	67530-9733
Country	:	US
Telephone Number	:	620-792-1231
Fax Number	:	620-792-5146

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	07/08/2007

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