Hillsboro Dental Excellence, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HILLSBORO DENTAL EXCELLENCE, LLC

Practice address

324 SE 9TH Ave Ste B
Hillsboro, OR 97123-4247

Phone

(503) 648-6671

Fax

(503) 693-1143

NPI assigned

May 26, 2015

Organization subpart

Yes

Parent organization

NORTHWEST DENTAL GROUP, LLCAs reported in NPPES

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

Authorized official

Name

Bryant Zollinger, DDS

Title

Dentist

Phone

(503) 648-6671

Specialties & licenses 1

Addresses

Tax ID family

Hillsboro Dental Excellence2 organizations share this tax ID, including this one

Part of

Northwest Dental Group LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Northwest Dental Partners, LLC

  • General Practice Dentistry
  • Hillsboro, OR
  • NPI 1659788842
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Northwest Dental Group, LLC

  • Dentist
  • Hillsboro, OR
  • NPI 1093194052
  NPPES parent name

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1497134290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 SE 9TH AVE STE B",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234247",
            "telephone_number": "503-648-6671",
            "fax_number": "503-693-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 SE 9TH AVE STE B",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234247",
            "telephone_number": "503-648-6671",
            "fax_number": "503-693-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSBORO DENTAL EXCELLENCE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST DENTAL GROUP, LLC",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "ZOLLINGER",
        "authorized_official_first_name": "BRYANT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "503-648-6671",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Hills, RPH
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• Hillsboro Dentist Office PC
• Hillsboro Eye Clinic PC
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• Hillsboro Eye Clinic, PC

• General Practice Dentistry in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.