Provider Demographics
NPI:1427336239
Name:HILL, BRETT W (DDS, MS)
Entity type:Individual
Prefix:MR
First Name:BRETT
Middle Name:W
Last Name:HILL
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:154 COUNTRY CLUB RD
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29302-3364
Mailing Address - Country:US
Mailing Address - Phone:864-582-0332
Mailing Address - Fax:864-582-2263
Practice Address - Street 1:154 COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29302-3364
Practice Address - Country:US
Practice Address - Phone:864-582-0332
Practice Address - Fax:864-582-2263
Is Sole Proprietor?:No
Enumeration Date:2011-07-27
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9461223E0200X
NH038591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No1223G0001XDental ProvidersDentistGeneral Practice