Provider Demographics
NPI:1417738469
Name:HYLAND, EMILEE J (RDH OMT)
Entity Type:Individual
Prefix:
First Name:EMILEE
Middle Name:J
Last Name:HYLAND
Suffix:
Gender:F
Credentials:RDH OMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15B NORTON DR
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NH
Mailing Address - Zip Code:03244-4450
Mailing Address - Country:US
Mailing Address - Phone:603-864-9817
Mailing Address - Fax:
Practice Address - Street 1:15B NORTON DR
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NH
Practice Address - Zip Code:03244-4450
Practice Address - Country:US
Practice Address - Phone:603-864-9817
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-06
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225500000X
NH03572124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist
No225500000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/Technologist