Individual
DR. JEFFREY WILLIAM HILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
2104 MASSEY AVE, NS MAYPORT, FL 32228
(904) 270-4460
Mailing address
404 BIG TREE RD, PONTE VEDRA BEACH, FL 32082-4139
(770) 853-1826
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D 6367 C
AL
1223E0200X
Endodontics
Primary
26637
FL
1223E0200X
Endodontics
D 6367 C
AL
1223E0200X
Endodontics
DN 013101
GA
1223G0001X
General Practice Dentistry
DN013101
GA
Other
Enumeration date
01/26/2006
Last updated
06/13/2022
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