Provider Demographics
NPI:1588122600
Name:HILLCREST DENTAL CARE, LLC
Entity type:Organization
Organization Name:HILLCREST DENTAL CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DOWNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-776-6878
Mailing Address - Street 1:1100 HILLCREST RD STE A
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-3919
Mailing Address - Country:US
Mailing Address - Phone:251-776-6878
Mailing Address - Fax:251-776-6863
Practice Address - Street 1:1100 HILLCREST RD STE A
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36695-3919
Practice Address - Country:US
Practice Address - Phone:251-776-6878
Practice Address - Fax:251-776-6863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-07
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental