Provider Demographics
NPI:1407168677
Name:OLIVER, HILLERY J (DDS)
Entity Type:Individual
Prefix:DR
First Name:HILLERY
Middle Name:J
Last Name:OLIVER
Suffix:
Gender:F
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:PO BOX 1895
Mailing Address - Street 2:
Mailing Address - City:EAGLE
Mailing Address - State:CO
Mailing Address - Zip Code:81631-1895
Mailing Address - Country:US
Mailing Address - Phone:719-339-0157
Mailing Address - Fax:
Practice Address - Street 1:30 BENCHMARK RD STE 103
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:CO
Practice Address - Zip Code:81620-5917
Practice Address - Country:US
Practice Address - Phone:970-688-5372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-05
Last Update Date:2024-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN000102431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice