Provider Demographics
NPI:1043216419
Name:HILL, CECIL LEE JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:CECIL
Middle Name:LEE
Last Name:HILL
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:1355 PEACHTREE ST NE
Mailing Address - Street 2:SUITE 1225
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-3212
Mailing Address - Country:US
Mailing Address - Phone:404-724-9918
Mailing Address - Fax:404-724-9130
Practice Address - Street 1:1355 PEACHTREE ST NE
Practice Address - Street 2:SUITE 1225
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-3212
Practice Address - Country:US
Practice Address - Phone:404-724-9918
Practice Address - Fax:404-724-9130
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2009-01-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GADN0114561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA011456GAOtherDELTA DENTAL
GA0005847235OtherAETNA
GA60103177OtherBCBS AL
GAU04805593OtherCIGNA
GA4097337OtherBCBS TN
GA52543040OtherBCBS GA
GA826400OtherUNITED CONCORDIA