Provider Demographics
NPI:1346691870
Name:HILL, ELIZABETH DAVIS (DMD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:DAVIS
Last Name:HILL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6001 JACKSON SQUARE BLVD
Mailing Address - Street 2:SUITE #1001
Mailing Address - City:LA VERGNE
Mailing Address - State:TN
Mailing Address - Zip Code:37086-2767
Mailing Address - Country:US
Mailing Address - Phone:615-280-2667
Mailing Address - Fax:
Practice Address - Street 1:6001 JACKSON SQUARE BLVD
Practice Address - Street 2:SUITE #1001
Practice Address - City:LA VERGNE
Practice Address - State:TN
Practice Address - Zip Code:37086-2767
Practice Address - Country:US
Practice Address - Phone:615-280-2667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-27
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10257122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist