Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0004X | Dentist Anesthesiologist | 00202500 | CO |
N | 1223D0004X | Dentist Anesthesiologist | GEN.02786119 | CO |
N | 1223P0221X | Pediatric Dentist | 00202500 | CO |
N | 1223P0221X | Pediatric Dentist | 24164 | TX |
N | 1223P0221X | Pediatric Dentist | 30.023911 | OH |
N | 1223P0221X | Pediatric Dentist | D12883 | MN |
N | 1223P0221X | Pediatric Dentist | DEN.00202500 | CO |
NPI | 1922263912 |
---|---|
Provider Name | Dr. Zachary X. Van Hilsen |
First Address | Greenwood Village, CO 80111-2990 |
Second Address | Greenwood Village, CO 80111-2990 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2008 |
Last Update Date | 18/09/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
13350056 | (05) | CO |