Healthcare Provider Details

I. General information

NPI: 1922152404
Provider Name (Legal Business Name): STEVEN CRAIG HILL DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2171 JERICHO TURNPIKE SUITE #145
COMMACK NY
11725
US

IV. Provider business mailing address

2171 JERICHO TURNPIKE SUITE #145
COMMACK NY
11725
US

V. Phone/Fax

Practice location:
  • Phone: 631-462-6888
  • Fax: 631-499-0775
Mailing address:
  • Phone: 631-462-6888
  • Fax: 631-499-0775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number037356
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: