Healthcare Provider Details

I. General information

NPI: 1821753021
Provider Name (Legal Business Name): HILL ORAL SURGERY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2021
Last Update Date: 07/21/2024
Certification Date: 07/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2202 SULLIVAN TRL
EASTON PA
18040-7901
US

IV. Provider business mailing address

152 PENNSYLVANIA AVE
EASTON PA
18042-1357
US

V. Phone/Fax

Practice location:
  • Phone: 610-810-3511
  • Fax:
Mailing address:
  • Phone: 610-360-0410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License Number
License Number State

VIII. Authorized Official

Name: DR. MARKUS STEVEN HILL
Title or Position: OWNER/AUTHORIZED OFFICIAL
Credential: DMD
Phone: 610-360-0410