Provider Demographics
NPI:1487094538
Name:FREY, HILLARY ELIZABETH (DDS)
Entity type:Individual
Prefix:DR
First Name:HILLARY
Middle Name:ELIZABETH
Last Name:FREY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:HILLARY
Other - Middle Name:ELIZABETH
Other - Last Name:HOELZEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4476 GREENWICH CT APT B1
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63108-2537
Mailing Address - Country:US
Mailing Address - Phone:734-536-0176
Mailing Address - Fax:
Practice Address - Street 1:2800 COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:ALTON
Practice Address - State:IL
Practice Address - Zip Code:62002-4742
Practice Address - Country:US
Practice Address - Phone:618-474-7170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-02
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.029492122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist