Provider Demographics
NPI:1972514719
Name:HULLAND-PRILL, HILARY (DMD)
Entity type:Individual
Prefix:DR
First Name:HILARY
Middle Name:
Last Name:HULLAND-PRILL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:HILARY
Other - Middle Name:HULLAND
Other - Last Name:PRILL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:573 BARNES BLVD SUITE 101
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955
Mailing Address - Country:US
Mailing Address - Phone:321-633-4020
Mailing Address - Fax:321-633-4060
Practice Address - Street 1:573 BARNES BLVD SUITE 101
Practice Address - Street 2:
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955
Practice Address - Country:US
Practice Address - Phone:321-633-4020
Practice Address - Fax:321-633-4060
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN167471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice