MEDICARE: DR. ROBERT E HILL D.D.S.

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	2032	NV

General Provider Information

NPI Number	:	1114165180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT E HILL D.D.S.

Provider Business Mailing Address
First Line	:	6680 W FLAMINGO RD
Second Line	:	SUITE 11
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-2189
Country	:	US
Telephone Number	:	702-871-5671
Fax Number	:	702-871-6700

Provider Business Practice Location Address
First Line	:	6680 W FLAMINGO RD
Second Line	:	SUITE 11
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-2189
Country	:	US
Telephone Number	:	702-871-5671
Fax Number	:	702-871-6700

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

Provider Enumeration Date	:	01/29/2009
Last Update Date	:	01/29/2009

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