Provider Demographics
NPI:1124702436
Name:HILL, DENNIS MICHAEL JR
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:MICHAEL
Last Name:HILL
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 E HOLDING AVE UNIT 21
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27588-0838
Mailing Address - Country:US
Mailing Address - Phone:919-608-0311
Mailing Address - Fax:
Practice Address - Street 1:224 E HOLDING AVE
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-2903
Practice Address - Country:US
Practice Address - Phone:919-608-0311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)