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General NPI Number Information
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NPI Number | 1225040595
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Entity Type | Organization
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Legal Business Name | HILLTOP DENTISTS PC
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 12265 N STATE RD
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City | OTISVILLE
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State | MI
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Zip | 48463-9794
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Country | US
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Telephone | 810-631-4573
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Fax |
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Provider Business Mailing Address
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Address Line | 12265 N STATE RD
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City | OTISVILLE
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State | MI
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Zip | 48463-9794
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Country | US
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Telephone | 810-631-4573
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Fax | 810-631-9600
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Authorized Official
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Title or Position | OWNER
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Name | JAMES HOWARD FORD
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Credential | D.M.D
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Telephone | 810-631-4573
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2901012572
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License Number State | MI
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