MEDICARE: STEVEN JAMES HILL D.D.S., P.A.

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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	D15629	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	D15629	OTHER	TX	DENTAL LICENSE NUMBER

General Provider Information

NPI Number	:	1962591446
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN JAMES HILL D.D.S., P.A.

Provider Business Mailing Address
First Line	:	4211 85TH ST
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79423-1931
Country	:	US
Telephone Number	:	806-783-8837
Fax Number	:	806-783-8841

Provider Business Practice Location Address
First Line	:	4211 85TH ST
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79423-1931
Country	:	US
Telephone Number	:	806-783-8837
Fax Number	:	806-783-8841

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

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	07/08/2007

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Directions to “ STEVEN JAMES HILL D.D.S., P.A.” Practice Location

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