# O. JERRY HILL, JR. DDS, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821292210
- **Authorized official:** DR. OREN JERRY HILL JR. DDS (OWNER)
- **Authorized official phone:** (704) 873-0263

## Contact information

- **Practice address:** 925 THOMAS ST, STATESVILLE, NC 28677-3484
- **Practice address phone:** (704) 873-0263
- **Practice address fax:** (704) 873-1813
- **Mailing address:** 925 THOMAS ST, STATESVILLE, NC 28677-3484
- **Mailing address phone:** (704) 873-0263
- **Mailing address fax:** (704) 873-1813

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 4205 | NC | Yes |

## Other

- **Enumeration date:** 06/12/2007
- **Last updated:** 11/06/2007