Individual
DR. MARK JAY HILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4119 SW 9TH ST, DES MOINES, IA 50315-3466
(515) 281-0700
(515) 281-0334
Mailing address
4119 SW 9TH ST, DES MOINES, IA 50315-3466
(515) 281-0700
(515) 281-0334
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5504
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0039115
—
IA
Enumeration date
10/14/2006
Last updated
07/08/2007
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