MEDICARE: DR. AVIONNE A 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	1223P0221X	Pediatric Dentistry	13470	MD

General Provider Information

NPI Number	:	1619053642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AVIONNE A HILL D.D.S.

Provider Business Mailing Address
First Line	:	10230 NEW HAMPSHIRE AVE
Second Line	:	#104
City	:	SILVER SPRING
State	:	MD
Zip	:	20903-1400
Country	:	US
Telephone Number	:	301-408-3131
Fax Number	:	301-408-3141

Provider Business Practice Location Address
First Line	:	10230 NEW HAMPSHIRE AVE
Second Line	:	#104
City	:	SILVER SPRING
State	:	MD
Zip	:	20903-1400
Country	:	US
Telephone Number	:	301-408-3131
Fax Number	:	301-408-3141

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

Provider Enumeration Date	:	10/31/2006
Last Update Date	:	04/12/2016

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