Provider Demographics
NPI:1285264184
Name:LINK, HILARY (RDH)
Entity type:Individual
Prefix:
First Name:HILARY
Middle Name:
Last Name:LINK
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:529 36 RD
Mailing Address - Street 2:
Mailing Address - City:PALISADE
Mailing Address - State:CO
Mailing Address - Zip Code:81526-9303
Mailing Address - Country:US
Mailing Address - Phone:970-589-7643
Mailing Address - Fax:
Practice Address - Street 1:2525 N 8TH ST STE 105
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-8808
Practice Address - Country:US
Practice Address - Phone:970-255-1111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-19
Last Update Date:2020-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2025074124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist