Provider Demographics
NPI:1699959759
Name:HILL, JAMES CHARLES (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:CHARLES
Last Name:HILL
Suffix:
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:PO BOX 686
Mailing Address - Street 2:
Mailing Address - City:SOLEDAD
Mailing Address - State:CA
Mailing Address - Zip Code:93960-0686
Mailing Address - Country:US
Mailing Address - Phone:831-678-3951
Mailing Address - Fax:831-678-5907
Practice Address - Street 1:5 MILES NORTH OF SOLEDAD
Practice Address - Street 2:CA HIGHWAY 101
Practice Address - City:SOLEDAD
Practice Address - State:CA
Practice Address - Zip Code:93960-0686
Practice Address - Country:US
Practice Address - Phone:831-678-3951
Practice Address - Fax:831-678-3951
Is Sole Proprietor?:No
Enumeration Date:2007-12-26
Last Update Date:2007-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA226141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice