Provider Demographics
NPI:1770807273
Name:HILLIARD, WILLIAM BECKWITH (DDS)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:BECKWITH
Last Name:HILLIARD
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 1:54 SCOTT ADAM RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030-3216
Mailing Address - Country:US
Mailing Address - Phone:410-628-9290
Mailing Address - Fax:410-628-9302
Practice Address - Street 1:54 SCOTT ADAM RD
Practice Address - Street 2:SUITE 102
Practice Address - City:COCKEYSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21030-3216
Practice Address - Country:US
Practice Address - Phone:410-628-9290
Practice Address - Fax:410-628-9302
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-26
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD75201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice