Provider Demographics
NPI:1033434675
Name:HILL, KERRI (DDS)
Entity Type:Individual
Prefix:DR
First Name:KERRI
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1035 CATALINA
Mailing Address - Street 2:
Mailing Address - City:LAGUNA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92651-2720
Mailing Address - Country:US
Mailing Address - Phone:949-715-9093
Mailing Address - Fax:949-715-9093
Practice Address - Street 1:1035 CATALINA
Practice Address - Street 2:
Practice Address - City:LAGUNA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92651-2720
Practice Address - Country:US
Practice Address - Phone:949-715-9093
Practice Address - Fax:949-715-9093
Is Sole Proprietor?:No
Enumeration Date:2010-04-06
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54113122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist