Provider Demographics
NPI:1194898031
Name:HILL, FREDERIC S JR (DDS)
Entity type:Individual
Prefix:DR
First Name:FREDERIC
Middle Name:S
Last Name:HILL
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 COMPTON ROAD
Mailing Address - Street 2:#9
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231
Mailing Address - Country:US
Mailing Address - Phone:513-521-2100
Mailing Address - Fax:513-521-2100
Practice Address - Street 1:800 COMPTON ROAD
Practice Address - Street 2:#9
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231
Practice Address - Country:US
Practice Address - Phone:513-521-2100
Practice Address - Fax:513-521-2100
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30162301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice