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NPI Code Detail

MEDICARE: DR. JEREMIAH HILTON DDS

MEDICARE: DR. JEREMIAH HILTON 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
11223G0001XGeneral Practice Dentistry12039NC

General Provider Information

NPI Number : 1396359451
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEREMIAH HILTON DDS
Provider Business Mailing Address
First Line : 3009 JEAN RABIN WAY APT 203
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-5062
Country : US
Telephone Number : 405-361-5097
Fax Number :
Provider Business Practice Location Address
First Line : 7150 MARKET ST STE 130
Second Line :
City : WILMINGTON
State : NC
Zip : 28411-9888
Country : US
Telephone Number : 910-356-6924
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2020
Last Update Date : 09/04/2020

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