RANDAL L. HILLIS DDS
NPI 1982765426
Dentist - General Practice in Poplar Bluff, MO

Active since December 12, 2006
1600 W HARPER ST, POPLAR BLUFF, MO 63901(573) 785-6699(573) 785-3424 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Randal L. Hillis Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RANDAL L. HILLIS DDS (NPI 1982765426) is a healthcare organization registered as a general practice in Poplar Bluff, Missouri and active in the NPI registry since December 2006. The organization lists Randal Lee Hillis, Owner,dentist, as its authorized official.

NPPES Registry Identity

NPI1982765426
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameRANDAL L. HILLIS DDS
Location Address1600 W HARPER STPoplar Bluff, MO 63901-4119
Mailing Address1600 W Harper StPoplar Bluff, MO 63901-4119 · (573) 785-6699 · Fax (573) 785-3424
Fax(573) 785-3424
Organization SubpartNo
Authorized OfficialRandal Lee HillisOwner,dentist · (573) 785-6699
Enumeration DateDecember 12, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1982765426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MO · 14340
Definition
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.
1600 W HARPER ST, Poplar Bluff, MO 63901

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
1600 W HARPER ST
POPLAR BLUFF, MO 63901
Nurse Practitioner (Family)
1600 W HARPER ST
POPLAR BLUFF, MO 63901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randal L. Hillis Dds's NPI number?

The NPI number for Randal L. Hillis Dds is 1982765426. It was assigned to this organization in the NPPES registry on December 12, 2006.

Where is Randal L. Hillis Dds located?

Randal L. Hillis Dds is located at 1600 W Harper St, Poplar Bluff, MO 63901. The listed phone number is (573) 785-6699.

What is Randal L. Hillis Dds's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Randal L. Hillis Dds was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.