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General NPI Number Information
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NPI Number | 1417361296
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Entity Type | Organization
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Legal Business Name | HILL DDS PLLC
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Dates
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Enumeration Date | 06/19/2014
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 3465A TEAYS VALLEY RD
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City | HURRICANE
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State | WV
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Zip | 25526-9279
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Country | US
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Telephone | 304-562-0355
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Fax | 304-562-0356
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Provider Business Mailing Address
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Address Line | PO BOX 166
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City | WINFIELD
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State | WV
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Zip | 25213-0166
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Country | US
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Telephone | 304-586-4292
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Fax | 304-562-0356
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DR. JONATHAN HILL
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Credential | DDS
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Telephone | 304-419-0049
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 2430
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 4109
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License Number State | WV
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