Provider Demographics
NPI:1316238769
Name:HILL ORTHODONTICS
Entity type:Organization
Organization Name:HILL ORTHODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:615-479-1044
Mailing Address - Street 1:977 SAM RAYBURN TOLLWAY
Mailing Address - Street 2:SUITE 110
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-6016
Mailing Address - Country:US
Mailing Address - Phone:214-383-9595
Mailing Address - Fax:214-383-9444
Practice Address - Street 1:977 SAM RAYBURN TOLLWAY
Practice Address - Street 2:SUITE 110
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-6016
Practice Address - Country:US
Practice Address - Phone:214-383-9595
Practice Address - Fax:214-383-9444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-20
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX245451223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty