Provider Demographics
NPI:1073636122
Name:HILLAM, RULON B (DDS)
Entity Type:Individual
Prefix:DR
First Name:RULON
Middle Name:B
Last Name:HILLAM
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9920 WADSWORTH PKWY
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80021-6847
Mailing Address - Country:US
Mailing Address - Phone:801-369-0647
Mailing Address - Fax:
Practice Address - Street 1:9920 WADSWORTH PKWY
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80021-6847
Practice Address - Country:US
Practice Address - Phone:801-369-0647
Practice Address - Fax:801-375-0397
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5685033-9922122300000X
NV6758122300000X
CODEN.00202407122300000X
WY1410122300000X
MTDEN-DEN-LIC-7792122300000X
TX31825122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist