Healthcare Provider Details

I. General information

NPI: 1619931151
Provider Name (Legal Business Name): KEVIN DEAN HILTON DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2006
Last Update Date: 04/15/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20106 STATE HIGHWAY M28
EWEN MI
49925-9001
US

IV. Provider business mailing address

507 CALVERLEY AVE
HOUGHTON MI
49931-2320
US

V. Phone/Fax

Practice location:
  • Phone: 906-988-2468
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number37997
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: