Healthcare Provider Details

I. General information

NPI: 1215670484
Provider Name (Legal Business Name): HAILEY B HILDENBRANDT D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/15/2022
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 WALKERS BROOK DR
READING MA
01867-3238
US

IV. Provider business mailing address

95 WALKERS BROOK DR
READING MA
01867-3238
US

V. Phone/Fax

Practice location:
  • Phone: 781-245-8811
  • Fax:
Mailing address:
  • Phone: 781-245-8811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License NumberDN10000732
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: