Provider Demographics
NPI:1497829808
Name:HILD, JILL ELLEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JILL
Middle Name:ELLEN
Last Name:HILD
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 1:5323 NORTH 134TH AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-6302
Mailing Address - Country:US
Mailing Address - Phone:402-492-9303
Mailing Address - Fax:402-496-4073
Practice Address - Street 1:5323 NORTH 134TH AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68164-6302
Practice Address - Country:US
Practice Address - Phone:402-492-9303
Practice Address - Fax:402-496-4073
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE53391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice