Provider Demographics
NPI:1568570034
Name:HILLOCK, ROBERT JAMES (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JAMES
Last Name:HILLOCK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6127 CLARK RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:PARADISE
Mailing Address - State:CA
Mailing Address - Zip Code:95969-4111
Mailing Address - Country:US
Mailing Address - Phone:530-876-9703
Mailing Address - Fax:
Practice Address - Street 1:6127 CLARK RD
Practice Address - Street 2:SUITE 300
Practice Address - City:PARADISE
Practice Address - State:CA
Practice Address - Zip Code:95969-4111
Practice Address - Country:US
Practice Address - Phone:530-876-9703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA249231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice