Provider Demographics
NPI:1336407386
Name:HUNTER, HILLARY JANE (DDS)
Entity Type:Individual
Prefix:DR
First Name:HILLARY
Middle Name:JANE
Last Name:HUNTER
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 1:1267 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:WI
Mailing Address - Zip Code:54021-1060
Mailing Address - Country:US
Mailing Address - Phone:651-216-4174
Mailing Address - Fax:
Practice Address - Street 1:1267 WALNUT ST
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:WI
Practice Address - Zip Code:54021-1060
Practice Address - Country:US
Practice Address - Phone:651-216-4174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-27
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6932151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice