MEDICARE: DR. RICHARD B HILL DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	D5182	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	D5182	OTHER	OR	OREGON BOARD OF DENTISTRY

General Provider Information

NPI Number	:	1134291081
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD B HILL DMD

Provider Business Mailing Address
First Line	:	1704 BEALL LN
Second Line	:
City	:	CENTRAL POINT
State	:	OR
Zip	:	97502-1506
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1035 NE 6TH ST
Second Line	:	STE. B
City	:	GRANTS PASS
State	:	OR
Zip	:	97526
Country	:	US
Telephone Number	:	541-479-6393
Fax Number	:	541-479-6489

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	03/07/2023

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