Hilander Dental

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

HILANDER DENTAL

Practice address

510 Allen St
Kelso, WA 98626-4139

Phone

(360) 636-5170

Fax

(636) 636-0052

NPI assigned

Aug 10, 2010

Last updated

Dec 23, 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

Renee Jeanette Kjose

Title

Manager/Controller

Phone

(360) 636-5170

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608681600000",
    "number": "1629383096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 ALLEN ST",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986264139",
            "telephone_number": "360-636-5170",
            "fax_number": "636-636-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 ALLEN ST",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986264139",
            "telephone_number": "360-636-5170",
            "fax_number": "636-636-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILANDER DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A",
        "authorized_official_last_name": "KJOSE",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "JEANETTE",
        "authorized_official_title_or_position": "MANAGER/CONTROLLER",
        "authorized_official_telephone_number": "360-636-5170"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5035936",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Haulk-Fraser, LMP
• Hear N Now & Associates
• Mariah A Herrera, SUDPT
• Katharyn Heselwood
• Stanley Michael Hicks, M.D.
• Mark Hitchcock, RN
• Carrera Leigh Hobson
• Grace Hoinowski, MA
• Jacob Holland, LPN
• James Bevan Hollingsworth, RPH

• Dentist in Kelso, WA
• Providers in Kelso, WA by specialty
• Dentist in Washington

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