Provider Demographics
NPI:1417918608
Name:HILL, STEVENS GRIFFIN SR (DMD)
Entity Type:Individual
Prefix:DR
First Name:STEVENS
Middle Name:GRIFFIN
Last Name:HILL
Suffix:SR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 BELLEVUE AVE
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:GA
Mailing Address - Zip Code:31021-4102
Mailing Address - Country:US
Mailing Address - Phone:478-296-9764
Mailing Address - Fax:478-296-9942
Practice Address - Street 1:1100 BELLEVUE AVE
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:GA
Practice Address - Zip Code:31021-4102
Practice Address - Country:US
Practice Address - Phone:478-296-9764
Practice Address - Fax:478-296-9942
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0122141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice