Healthcare Provider Details

I. General information

NPI: 1548885858
Provider Name (Legal Business Name): HILURY WEI YING HA DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2020
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 SE 28TH LOOP
OCALA FL
34471-1079
US

IV. Provider business mailing address

1701 SE 28TH LOOP
OCALA FL
34471-1079
US

V. Phone/Fax

Practice location:
  • Phone: 352-732-6006
  • Fax:
Mailing address:
  • Phone: 352-732-6006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDN24958
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: