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NPI Code Detail

MEDICARE: DR. DONALD JAMES HILLMAN D.D.S.

MEDICARE: DR. DONALD JAMES HILLMAN D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry9254GA

General Provider Information

NPI Number : 1427194711
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONALD JAMES HILLMAN D.D.S.
Provider Business Mailing Address
First Line : 4136 MILL ST NE
Second Line :
City : COVINGTON
State : GA
Zip : 30014-2540
Country : US
Telephone Number : 770-787-2200
Fax Number : 770-787-2205
Provider Business Practice Location Address
First Line : 4136 MILL ST NE
Second Line :
City : COVINGTON
State : GA
Zip : 30014-2540
Country : US
Telephone Number : 770-787-2200
Fax Number : 770-787-2205
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2007
Last Update Date : 07/08/2007

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