Provider Demographics
NPI:1689854945
Name:OWEISY, HILDA (DMD)
Entity type:Individual
Prefix:DR
First Name:HILDA
Middle Name:
Last Name:OWEISY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 SAVANNAH RD STE 101
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-1675
Mailing Address - Country:US
Mailing Address - Phone:022-008-3443
Mailing Address - Fax:302-200-6195
Practice Address - Street 1:1515 SAVANNAH RD STE 101
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-1675
Practice Address - Country:US
Practice Address - Phone:302-200-8344
Practice Address - Fax:302-200-6195
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-05
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD163151223X0400X
VA04014114461223X0400X
DEG1-00014121223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty