| Keith Hilliard Dmd Pa | |
|
330 E Highland Drive Lakeland FL 33813-1727 | |
| (863) 644-0430 | |
| (863) 646-5902 |
| Full Name | Keith Hilliard Dmd Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 330 E Highland Drive, Lakeland, Florida |
| Authorized Official Name and Position | J Keith Hilliard (PRESIDENT) |
| Authorized Official Contact | 8636440430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keith Hilliard Dmd Pa 330 E Highland Drive Lakeland FL 33813-1727 Ph: (863) 644-0430 | Keith Hilliard Dmd Pa 330 E Highland Drive Lakeland FL 33813-1727 Ph: (863) 644-0430 |
| NPI Number | 1063618759 |
|---|---|
| Provider Enumeration Date | 06/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063618759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 6394 (Florida) | Primary |
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