Provider Demographics
NPI:1962074260
Name:ST PIERRE, HILARY ELIZABETH (DDS)
Entity type:Individual
Prefix:DR
First Name:HILARY
Middle Name:ELIZABETH
Last Name:ST PIERRE
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 1:37 BENT TREE DR
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02632-3107
Mailing Address - Country:US
Mailing Address - Phone:614-256-6400
Mailing Address - Fax:
Practice Address - Street 1:2187 MAIN ST
Practice Address - Street 2:
Practice Address - City:BREWSTER
Practice Address - State:MA
Practice Address - Zip Code:02631-1817
Practice Address - Country:US
Practice Address - Phone:508-896-5951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-15
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1859090122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist