Provider Demographics
NPI:1699515320
Name:WILLIAMSON, HILLARY BETH (DDS)
Entity type:Individual
Prefix:
First Name:HILLARY
Middle Name:BETH
Last Name:WILLIAMSON
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 1:148 HAWKS RUN RD
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26508-1309
Mailing Address - Country:US
Mailing Address - Phone:304-784-5283
Mailing Address - Fax:
Practice Address - Street 1:20 SHANER DR STE 108
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:WV
Practice Address - Zip Code:26330-2626
Practice Address - Country:US
Practice Address - Phone:304-842-2375
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-30
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV4689122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist