Provider Demographics
NPI:1174027007
Name:KINNEY, HILLARY ANNE (DMD)
Entity Type:Individual
Prefix:DR
First Name:HILLARY
Middle Name:ANNE
Last Name:KINNEY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:HILLARY
Other - Middle Name:
Other - Last Name:CREED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:243 BRIDGE ST APT 1
Mailing Address - Street 2:
Mailing Address - City:WESTBROOK
Mailing Address - State:ME
Mailing Address - Zip Code:04092-3028
Mailing Address - Country:US
Mailing Address - Phone:180-255-8713
Mailing Address - Fax:
Practice Address - Street 1:1 KNEELAND ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1527
Practice Address - Country:US
Practice Address - Phone:617-636-6515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-23
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1858263122300000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program