Avila, Hilda Ivelisse

Avila, Hilda Ivelisse is an individual health care provider with primary practice located at 3500 Professional Cir , Martinez GA 30907-8230. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Avila, Hilda Ivelisse can be contacted via phone (706) 860-9882.

Contact Information

Primary practice address
3500 Professional Cir Martinez GA 30907-8230
Fax: (706) 860-4740
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2509 Puerto Rico
Dental Providers / General Practice 1223G0001X 015688 Georgia

Profile Details

NPI number 1447342134
LBN Legal business name Avila, Hilda Ivelisse
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Feb 20th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447342134 NPPES
Puerto Rico Other 660386268-03 MCS
Puerto Rico Other 40157AV MCS
Puerto Rico Other 100141 MCS
Puerto Rico Other 9260215 MCS

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