Provider Demographics
NPI:1699986455
Name:HILL, CHARLES L (DMD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:L
Last Name:HILL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7855 NORTH POINT PKWY
Mailing Address - Street 2:SUITE 301
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022
Mailing Address - Country:US
Mailing Address - Phone:770-641-9900
Mailing Address - Fax:770-641-9161
Practice Address - Street 1:7855 NORTH POINT PKWY
Practice Address - Street 2:SUITE 301
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022
Practice Address - Country:US
Practice Address - Phone:770-641-9900
Practice Address - Fax:770-641-9161
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GADN011642122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist