Randal L. Hillis DDS
NPI #1982765426 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1982765426
- Entity Type
- Organization
- Organization Name
- Randal L. Hillis DDS
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 12, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1600 W HARPER ST
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-4119
- Phone
- (573) 785-6699
Authorized Official
- Name
- DR. RANDAL LEE HILLIS
- Title
- OWNER,DENTIST
- Phone
- (573) 785-6699
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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