Hillock Family Dental Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30787 Issued in CA

Legal business name

HILLOCK FAMILY DENTAL INC.

Practice address

1908 Coffee Rd. BLDG. 4
Modesto, CA 95355

Phone

(209) 522-8800

Fax

(209) 522-5126

NPI assigned

Apr 23, 2015

Last updated

Apr 23, 2015By 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. Donald Lee Hillock Jr., DDSNPI 1356497499

Title

Company President

Phone

(209) 522-8800

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donald Lee Hillock Jr., DDS

  • General Practice Dentistry
  • Modesto, CA
  • NPI 1356497499
  NPD (past) Authorized official

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1366839755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 COFFEE RD. BLDG. 4",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95355",
            "telephone_number": "209-522-8800",
            "fax_number": "209-522-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 COFFEE RD. BLDG. 4",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95355",
            "telephone_number": "209-522-8800",
            "fax_number": "209-522-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLOCK FAMILY DENTAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-23",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "HILLOCK",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "COMPANY PRESIDENT",
        "authorized_official_telephone_number": "209-522-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "30787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forrest Greg Hill, MD
• Myunique Da Nyce Hill
• Talia Hill
• Jaiden Hilliard
• Hilary Clarke Hillier, RDH
• Ashley Lynette Hillock, DMD
• Donald Lee Hillock Jr., DDS
• Diandra Hilton, PHD
• Hailey K. Himes
• Robin Rene Hinchman, DC

• General Practice Dentistry in Modesto, CA
• Providers in Modesto, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; 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.