Healthcare Provider Details

I. General information

NPI: 1861300808
Provider Name (Legal Business Name): THE HILLS DENTAL ASSOCIATES, PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

441 S LIVERNOIS RD STE 275
ROCHESTER HILLS MI
48307-2592
US

IV. Provider business mailing address

441 S LIVERNOIS RD STE 275
ROCHESTER HILLS MI
48307-2592
US

V. Phone/Fax

Practice location:
  • Phone: 248-608-1300
  • Fax: 248-608-1303
Mailing address:
  • Phone: 248-608-1300
  • Fax: 248-608-1303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: MRS. RAQUEL MARIE CASILLAS
Title or Position: OFFICE MANAGER
Credential:
Phone: 248-608-1300