Provider Demographics
NPI:1285754697
Name:HILL DENTISTRY, LTD.
Entity type:Organization
Organization Name:HILL DENTISTRY, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-649-9491
Mailing Address - Street 1:2917 CROSSING CT STE A
Mailing Address - Street 2:
Mailing Address - City:CHAMPAIGN
Mailing Address - State:IL
Mailing Address - Zip Code:61822-6185
Mailing Address - Country:US
Mailing Address - Phone:217-356-5260
Mailing Address - Fax:
Practice Address - Street 1:2917 CROSSING CT STE A
Practice Address - Street 2:
Practice Address - City:CHAMPAIGN
Practice Address - State:IL
Practice Address - Zip Code:61822-6185
Practice Address - Country:US
Practice Address - Phone:217-356-5260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL060-007960261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1477999092OtherPROVIDER NPI # (KATHERINE C. HILL, D.M.D.)
IL1811076649OtherPROVIDER NPI # (FOR MARTIN E. HILL, D.D.S.)