Provider Demographics
NPI:1457649394
Name:HYLAND, EVELYN N (DDS)
Entity Type:Individual
Prefix:
First Name:EVELYN
Middle Name:N
Last Name:HYLAND
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 1:685 E CHESTNUT HILL RD
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-1827
Mailing Address - Country:US
Mailing Address - Phone:302-455-9555
Mailing Address - Fax:302-455-9558
Practice Address - Street 1:685 E CHESTNUT HILL RD
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-1827
Practice Address - Country:US
Practice Address - Phone:302-455-9555
Practice Address - Fax:302-455-9558
Is Sole Proprietor?:No
Enumeration Date:2011-07-13
Last Update Date:2011-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEGI-0000990122300000X
PADS-022820L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist