MEDICARE: MICHAEL B.HILL, DDS, PC

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	1223G0001X	General Practice Dentistry	140089	UT

General Provider Information

NPI Number	:	1073572608
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL B.HILL, DDS, PC

Provider Business Mailing Address
First Line	:	1951 W 4700 S
Second Line	:	SUITE #4
City	:	TAYLORSVILLE
State	:	UT
Zip	:	84118-1108
Country	:	US
Telephone Number	:	801-966-8921
Fax Number	:	801-966-8926

Provider Business Practice Location Address
First Line	:	1951 W 4700 S
Second Line	:	SUITE #4
City	:	TAYLORSVILLE
State	:	UT
Zip	:	84118-1108
Country	:	US
Telephone Number	:	801-966-8921
Fax Number	:	801-966-8926

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MICHAEL B HILL
Credential	:	DDS
Telephone Number	:	801-966-8921

Provider Enumeration Date	:	03/22/2006
Last Update Date	:	05/07/2008

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