Individual
DR. GARY PREVOST HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
3115 ACADEMY ROAD, DURHAM, NC 27707
(919) 493-2569
(919) 493-5437
Mailing address
3115 ACADEMY ROAD, DURHAM, NC 27707
(919) 493-2569
(919) 493-5437
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3679
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8993898
—
NC
01
—
93898
BLUE CROSS BLUE SHIELD
—
Enumeration date
08/04/2006
Last updated
07/08/2007
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