MEDICARE: DR. DOXIADES A HILL 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
1	122300000X	Dentist	7870	CO

General Provider Information

NPI Number	:	1811985096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOXIADES A HILL DDS

Provider Business Mailing Address
First Line	:	320 S SANTA FE AVE
Second Line	:
City	:	FOUNTAIN
State	:	CO
Zip	:	80817-1964
Country	:	US
Telephone Number	:	719-391-4373
Fax Number	:	719-391-9084

Provider Business Practice Location Address
First Line	:	320 S SANTA FE AVE STE B
Second Line	:
City	:	FOUNTAIN
State	:	CO
Zip	:	80817-1964
Country	:	US
Telephone Number	:	719-391-4373
Fax Number	:	719-391-9084

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

Provider Enumeration Date	:	10/11/2005
Last Update Date	:	06/22/2017

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