MEDICARE: DR. WES LEE HILL D.D.S., M.D.

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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	57634	CA
2	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	6768219-9922	UT
3	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	6025	NV

General Provider Information

NPI Number	:	1811056294
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WES LEE HILL D.D.S., M.D.

Provider Business Mailing Address
First Line	:	301 S FAIR OAKS AVE
Second Line	:	SUITE 107
City	:	PASADENA
State	:	CA
Zip	:	91105-2561
Country	:	US
Telephone Number	:	626-440-0099
Fax Number	:	626-440-1002

Provider Business Practice Location Address
First Line	:	301 S FAIR OAKS AVE
Second Line	:	SUITE 107
City	:	PASADENA
State	:	CA
Zip	:	91105-2561
Country	:	US
Telephone Number	:	626-440-0099
Fax Number	:	626-440-1002

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

Provider Enumeration Date	:	12/08/2006
Last Update Date	:	07/22/2011

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