| Randal L. Hillis Dds | |
|
1600 W Harper St Poplar Bluff MO 63901-4119 | |
| (573) 785-6699 | |
| (573) 785-3424 |
| Full Name | Randal L. Hillis Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1600 W Harper St, Poplar Bluff, Missouri |
| Authorized Official Name and Position | Randal Lee Hillis (OWNER,DENTIST) |
| Authorized Official Contact | 5737856699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randal L. Hillis Dds 1600 W Harper St Poplar Bluff MO 63901-4119 Ph: (573) 785-6699 | Randal L. Hillis Dds 1600 W Harper St Poplar Bluff MO 63901-4119 Ph: (573) 785-6699 |
| NPI Number | 1982765426 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982765426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 14340 (Missouri) | Primary |
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