Provider Demographics
NPI:1396193694
Name:HILL & IOPPOLO PLLC
Entity Type:Organization
Organization Name:HILL & IOPPOLO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:BRYAN
Authorized Official - Last Name:IOPPOLO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:806-783-8837
Mailing Address - Street 1:4211 85TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-1931
Mailing Address - Country:US
Mailing Address - Phone:806-783-8837
Mailing Address - Fax:
Practice Address - Street 1:4211 85TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423-1931
Practice Address - Country:US
Practice Address - Phone:806-783-8837
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-26
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22416261QS0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0112XAmbulatory Health Care FacilitiesClinic/CenterOral and Maxillofacial Surgery