Provider Demographics
NPI:1003974346
Name:HILL, DENNIS R (MD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:R
Last Name:HILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3012 SUMMIT ST
Mailing Address - Street 2:SUITE 2675
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-3480
Mailing Address - Country:US
Mailing Address - Phone:510-869-8875
Mailing Address - Fax:510-869-8882
Practice Address - Street 1:3012 SUMMIT ST
Practice Address - Street 2:SUITE 2675
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-3480
Practice Address - Country:US
Practice Address - Phone:510-869-8875
Practice Address - Fax:510-869-8882
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2011-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG17225174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist