Healthcare Provider Details

I. General information

NPI: 1386725737
Provider Name (Legal Business Name): ADAM E. HILL, DDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 03/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

434-2 SUNSET DRIVE
BLOWING ROCK NC
28605
US

IV. Provider business mailing address

PO BOX 1083
BLOWING ROCK NC
28605-1083
US

V. Phone/Fax

Practice location:
  • Phone: 828-295-9603
  • Fax:
Mailing address:
  • Phone: 828-295-9603
  • Fax: 828-295-9615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number9137
License Number StateNC

VIII. Authorized Official

Name: DR. ADAM EUGENE HILL
Title or Position: DENTIST, OWNER
Credential: DDS
Phone: 828-295-9603