Healthcare Provider Details

I. General information

NPI: 1285901264
Provider Name (Legal Business Name): LAURA E HILL DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LAURA B SCOTT DMD

II. Dates (important events)

Enumeration Date: 11/19/2011
Last Update Date: 09/12/2025
Certification Date: 09/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 KEEN STREET
BURKESVILLE KY
42717-7915
US

IV. Provider business mailing address

PO BOX 1080
BURKESVILLE KY
42717-1080
US

V. Phone/Fax

Practice location:
  • Phone: 844-435-0900
  • Fax: 270-858-4029
Mailing address:
  • Phone: 270-858-6655
  • Fax: 270-858-4027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number9060
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: