Individual
KENNETH WILLARD HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
295 SUMMAR AVE, JACKSON, TN 38301
(731) 421-6764
(731) 421-5148
Mailing address
295 SUMMAR AVE, JACKSON, TN 38301
(731) 421-6764
(731) 421-5148
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS2635
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3225766
—
TN
Enumeration date
01/29/2007
Last updated
07/08/2007
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