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NPI Code Detail

MEDICARE: DR. MARK DAVID HILL DDS

MEDICARE: DR. MARK DAVID HILL DDS
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
1122300000XDentist7139NC

General Provider Information

NPI Number : 1144284316
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK DAVID HILL DDS
Provider Business Mailing Address
First Line : PO BOX 4744
Second Line :
City : GREENSBORO
State : NC
Zip : 27404-4744
Country : US
Telephone Number : 336-420-0531
Fax Number : 336-230-0016
Provider Business Practice Location Address
First Line : 1100 E WENDOVER AVE
Second Line :
City : GREENSBORO
State : NC
Zip : 27405-6713
Country : US
Telephone Number : 336-641-6846
Fax Number : 336-641-5859
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2006
Last Update Date : 07/08/2007

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