Provider Demographics
NPI:1669685756
Name:HILLCREST ORTHODONTICS P C
Entity Type:Organization
Organization Name:HILLCREST ORTHODONTICS P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSALYN
Authorized Official - Middle Name:J
Authorized Official - Last Name:SALTER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:251-634-0242
Mailing Address - Street 1:1605 HILLCREST RD
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-3987
Mailing Address - Country:US
Mailing Address - Phone:251-634-0242
Mailing Address - Fax:251-634-0546
Practice Address - Street 1:1605 HILLCREST RD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36695-3987
Practice Address - Country:US
Practice Address - Phone:251-634-0242
Practice Address - Fax:251-634-0546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty