Provider Demographics
NPI:1538518618
Name:HILLIER, HILARY CLARKE (RDH)
Entity Type:Individual
Prefix:
First Name:HILARY
Middle Name:CLARKE
Last Name:HILLIER
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:HILARY
Other - Middle Name:JOY
Other - Last Name:CLARKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDH
Mailing Address - Street 1:2073 FOREST GLEN CT
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:CA
Mailing Address - Zip Code:95361-2966
Mailing Address - Country:US
Mailing Address - Phone:559-288-4674
Mailing Address - Fax:
Practice Address - Street 1:1130 COFFEE RD STE 6
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95355-4228
Practice Address - Country:US
Practice Address - Phone:209-524-7347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-08
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20314124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist