HILLARY J HOMBURG


Address: 6135 Sissonville Dr, Charleston, WV 25312-9444
Phone: 3049841576

HILLARY J HOMBURG (NPI# 1114161940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114161940
Entity Type Individual
Full Name HILLARY J HOMBURG
Credential DDS
Practice Address 6135 Sissonville Dr
Charleston
WV 25312-9444
Mailing Address 104 Alex Ln
Charleston
WV 25304-2952
Practice Telephone 3049841576
Practice Fax Number 3049841565
Mailing Telephone 3047342040
Mailing Fax Number 3047342047
Enumeration Date 2009-04-23
Last Update Date 2020-05-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 3870 WV Dental Providers
N 122300000X Dentist 3970 WV Dental Providers
N 122300000X Dentist IN PROCESS OH Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
WV 3810018626 05

Office Location

Street Address 6135 SISSONVILLE DR
City CHARLESTON
State WV
Zip Code 25312-9444

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881749380 Nafiseh F. Woodard Family Medicine 6135 Sissonville Dr, Charleston, WV 25312-9444 2007-01-24
1912411349 Joshua Earl Carter Psychologist 6135 Sissonville Dr, Charleston, WV 25312-9444 2017-11-21
1871018168 Heidi Bissell Nurse Practitioner 6135 Sissonville Dr, Charleston, WV 25312 2017-08-08
1326584897 Brenna Ross Pharmacist 6135 Sissonville Dr, Charleston, WV 25312-9444 2017-01-09
1851843965 Cabin Creek Health Center Inc Pharmacy 6135 Sissonville Dr, Charleston, WV 25312-9444 2016-10-25
1437547361 Isaac Ashley Family Medicine 6135 Sissonville Dr, Charleston, WV 25312-9444 2014-12-30
1861793358 Shana F Wandling Nurse Practitioner 6135 Sissonville Dr, Charleston, WV 25312-9444 2010-11-15
1184935330 Emily Marie Selby-nelson Psychologist 6135 Sissonville Dr, Charleston, WV 25312-9444 2010-06-23
1790920122 Donna M Burton Nurse Practitioner 6135 Sissonville Dr, Charleston, WV 25312-9444 2008-12-15
1295880938 Jill Fields Physician Assistant 6135 Sissonville Dr, Charleston, WV 25312-9444 2007-01-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609362391 Ten Up Ministries, Inc Counselor 6697 Rocky Fork Road, Charleston, WV 25312 2018-07-05
1215443890 Jodie Louise Carr Technician 52 Bayles Drive, Charleston, WV 25312 2017-12-19
1760886824 First Settlement Physical Therapy Physical Therapist 6281 Sissonville Dr, Suite B, Charleston, WV 25312 2014-10-20
1790947000 Gavin Neil Hogue Preventive Medicine 102 Patrick St, Charleston, WV 25312 2008-06-27
1942487822 Kines Family Pharmacy Inc Pharmacy 6097 Sissonville Dr, Charleston, WV 25312 2008-01-23
1447336870 Sissonville Dental Care Center Dentist 1086 Martins Branch Road, Charleston, WV 25312 2006-10-27
1497838981 Philip Andrew Vicini Dentist 2018 Martins Branch Drive, Sissonville, WV 25312 2006-10-20
1487752085 Charles Lester Smith Dentist 1501 7th Ave, Charleston, WV 25312 2006-09-20
1710085246 Richard Duff Smith Dentist 1501 Seventh Avenue, Charleston, WV 25312 2006-09-20
1144337395 Jon Christopher Smith Dentist 1501 Seventh Ave, Charleston, WV 25312 2006-08-24
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396342762 Leonard James Cochrane IIi Dentist 150 Bee St Apt 706, Charleston, SC 29401-5706 2020-10-07
1275183998 Kenan Hatem Hossino Dentist 415 Morris St Ste 101, Charleston, WV 25301-1840 2019-09-14
1649766213 Michael Romani Dentist 92 Beaufain St Apt 5, Charleston, SC 29401-1986 2018-07-07
1174059836 Ammons Dental By Design- James Island Dentist 1739 Maybank Hwy Ste B, Charleston, SC 29412-2103 2017-05-02
1194266072 Ashley Rogers Albrecht Dentist 29 Bee St, Fourth Floor, Charleston, SC 29403 2017-03-13
1467991133 Khaleila Brannon Dentist 1500 Parklawn Dr Unit 814, Charleston, SC 29414-8137 2017-02-15
1366995839 Jan Meghan Baraczek Dentist 700 Rutledge Ave # A, Charleston, SC 29403-4145 2016-08-01
1083068811 Andrew Zegeer Dentist 928 Chappell Rd, Charleston, WV 25304-2708 2016-04-18
1164803789 Ana Gonzalez Dentist 670 Harbor Creek Pl, Charleston, SC 29412-3203 2015-06-10
1316326101 Caleb Poston Dentist 2090 Charlie Hall Blvd Ste 100, Charleston, SC 29414-8200 2015-05-26
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Competitor

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City CHARLESTON
Zip Code 25312

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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