RANDAL L. HILLIS DDS NPI 1982765426

NPI Information

  • NPI: 1982765426
  • Provider Name: RANDAL L. HILLIS DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 1600 W HARPER ST
    POPLAR BLUFF, MO
    ZIP 63901
  • Phone: (573) 785-6699

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NPI Details

RANDAL L. HILLIS DDS is a general practice dentist in Poplar Bluff, MO. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. RANDAL L. HILLIS DDS NPI is 1982765426. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1600 W HARPER ST
POPLAR BLUFF, MO
ZIP 63901-119
Phone: (573) 785-6699
Fax: (573) 785-3424

The provider's authorized official is Randal Lee Hillis .
The authorized official title is Owner,dentist and has the following contact phone number (573) 785-6699.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice14340MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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