Keith Hilliard DMD PA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

6394 Issued in FL

Legal business name

KEITH HILLIARD DMD PA

Practice address

330 E Highland Drive
Lakeland, FL 33813-1727

Phone

(863) 644-0430

Fax

(863) 646-5902

NPI assigned

Jun 21, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. J Keith Hilliard, DMD

Title

President

Phone

(863) 644-0430

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063618759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E HIGHLAND DRIVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131727",
            "telephone_number": "863-644-0430",
            "fax_number": "863-646-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E HIGHLAND DRIVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131727",
            "telephone_number": "863-644-0430",
            "fax_number": "863-646-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH HILLIARD DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HILLIARD",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-644-0430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "6394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Keeler, MD
• William Douglas Keeler, APRN
• Kirk Keeling, LMT
• Holly Kegel, LMHC, LPC
• Keith Gordon Kehler
• D'Laynie Keith
• Louise Elizabeth Kelley, MS, RN, FNP-C
• Megan Nissen Kelley, PHARMD
• Scott T. Kelley, MD
• Kelly a. Poncheri DPM PA (Foot & Ankle Institute of Central Florida)

• Orthodontics and Dentofacial Orthopedics Dentistry in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.