Dr. Matthew Blake Hillstead
Orthodontists
3105 W 5400 S
Taylorsville
, Utah 84129-2200
Dr. Matthew Blake Hillstead
Orthodontists
3105 W 5400 S
Taylorsville
, Utah 84129-2200
(801) 969-6236
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Matthew Blake Hillstead
- 3105 W 5400 S
- Taylorsville, UT
- Zip : 84129-2200
- Phone : (801) 969-6236
Second Address
- Dr. Matthew Blake Hillstead
- 3105 W 5400 S
- Taylorsville, UT
- Zip : 84129-2200
- Fax : (801) 966-4572
- Phone : (801) 969-6236
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 9015161-9922 | UT |
National Provider Identifier
| NPI | 1063709244 |
|---|---|
| Provider Name | Dr. Matthew Blake Hillstead |
| First Address | Taylorsville, UT 84129-2200 |
| Second Address | Taylorsville, UT 84129-2200 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/07/2011 |
| Last Update Date | 27/06/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 059339 | (05) | UT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.