DR. HILLARY JEAN MCCORMACK DDS NPI 1366799454

NPI Information

NPI: 1366799454
Provider Name: DR. HILLARY JEAN MCCORMACK, DDS
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
2133 PEPPERRELL ST BLDG 3352
LACKLAND AFB, TX
ZIP 78236
Phone: (210) 292-9038
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DR. Hillary Jean Mccormack, DDS is a student in an organized health care education training program in Lackland Afb, TX. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Hillary Jean Mccormack, DDS NPI is 1366799454. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2133 PEPPERRELL ST BLDG 3352
LACKLAND AFB, TX
ZIP 78236-313
Phone: (210) 292-9038

The enumeration date for this NPI number is 8/8/2012 and was last updated on 8/9/2023.

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
1	122300000X	Dentist		0401413706	VIRGINIA	No
2	390200000X	Student in an Organized Health Care Education/Training Program		0401413706	VIRGINIA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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