Provider Demographics
NPI:1093083214
Name:BRYAN P. HILL, D.D.S., P.L.L.C.
Entity Type:Organization
Organization Name:BRYAN P. HILL, D.D.S., P.L.L.C.
Other - Org Name:NORTHPOINTE DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:509-468-4040
Mailing Address - Street 1:547 SILVER CREEK DR
Mailing Address - Street 2:
Mailing Address - City:CENTRAL POINT
Mailing Address - State:OR
Mailing Address - Zip Code:97502-5004
Mailing Address - Country:US
Mailing Address - Phone:410-375-7229
Mailing Address - Fax:
Practice Address - Street 1:9671 N NEVADA ST
Practice Address - Street 2:SUITE 200
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-1146
Practice Address - Country:US
Practice Address - Phone:509-468-4040
Practice Address - Fax:509-468-4041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-02
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE60251613261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental