MEDICARE: DR. LINDSAY HILL DMD

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	DN20535	FL
2	1223P0300X	Periodontics	DN20535	FL

General Provider Information

NPI Number	:	1619394194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LINDSAY HILL DMD

Provider Business Mailing Address
First Line	:	616 SW 8TH AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33315-1069
Country	:	US
Telephone Number	:	239-980-0655
Fax Number	:

Provider Business Practice Location Address
First Line	:	10075 S JOG RD STE 108
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-3532
Country	:	US
Telephone Number	:	561-693-1736
Fax Number	:

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

Provider Enumeration Date	:	03/24/2014
Last Update Date	:	01/05/2019

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