Organization
HILL FAMILY DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY WAYNE HILL D.D.S. (PRESIDENT)
(307) 527-4455
Entity
Organization
Contact information
Practice address
1110 BECK AVE, SUITE 1, CODY, WY 82414-3624
(307) 527-4455
Mailing address
PO BOX 2408, CODY, WY 82414-2408
(307) 527-4455
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1157
WY
Other
Enumeration date
05/14/2007
Last updated
08/22/2020
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