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NPI Code Detail

MEDICARE: EDWARD HILLS DDS

MEDICARE: EDWARD HILLS DDS
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
1122300000XDentist30020127OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144238973
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWARD HILLS DDS
Provider Business Mailing Address
First Line : 7201 WADE PARK AVE
Second Line : MH AT ELIZA BRYANT VILLAGE
City : CLEVELAND
State : OH
Zip : 44103-2765
Country : US
Telephone Number : 216-957-9920
Fax Number :
Provider Business Practice Location Address
First Line : 7201 WADE PARK AVE
Second Line : MH AT ELIZA BRYANT VILLAGE
City : CLEVELAND
State : OH
Zip : 44103-2765
Country : US
Telephone Number : 216-957-9920
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2006
Last Update Date : 07/08/2007

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Directions to “ EDWARD HILLS DDS” Practice Location

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