Organization
O. JERRY HILL, JR. DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OREN JERRY HILL JR. DDS (OWNER)
(704) 873-0263
Entity
Organization
Contact information
Practice address
925 THOMAS ST, STATESVILLE, NC 28677-3484
(704) 873-0263
(704) 873-1813
Mailing address
925 THOMAS ST, STATESVILLE, NC 28677-3484
(704) 873-0263
(704) 873-1813
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4205
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
241074
MDCRPIN
NC
05
—
8993902
—
NC
Enumeration date
06/12/2007
Last updated
11/06/2007
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