MEDICARE: DR. EDWARD E 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	1223P0700X	Prosthodontics	PROS-392-05	MS

General Provider Information

NPI Number	:	1982672309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWARD E HILL DDS

Provider Business Mailing Address
First Line	:	108 SAVOY PARK
Second Line	:
City	:	MADISON
State	:	MS
Zip	:	39110
Country	:	US
Telephone Number	:	601-607-7229
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 N. STATE ST.
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39216-4505
Country	:	US
Telephone Number	:	601-984-6030
Fax Number	:

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

Provider Enumeration Date	:	03/10/2006
Last Update Date	:	07/08/2007

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