MEDICARE: DR. CHRISTOPHER BRADLEY HILL D.M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	15770	MO

General Provider Information

NPI Number	:	1063561769
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER BRADLEY HILL D.M.D.

Provider Business Mailing Address
First Line	:	1034 S BRENTWOOD BLVD STE 790
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63117-1271
Country	:	US
Telephone Number	:	314-678-7876
Fax Number	:

Provider Business Practice Location Address
First Line	:	1034 S BRENTWOOD BLVD STE 790
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63117-1271
Country	:	US
Telephone Number	:	314-678-7876
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2007
Last Update Date	:	05/30/2023

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Directions to “ DR. CHRISTOPHER BRADLEY HILL D.M.D.” Practice Location

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