Provider Demographics
NPI:1467048322
Name:SCOTT T HILL FAMILY DENTISTRY, PLLC
Entity Type:Organization
Organization Name:SCOTT T HILL FAMILY DENTISTRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:T
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:501-628-5555
Mailing Address - Street 1:12 MARLOU DR
Mailing Address - Street 2:
Mailing Address - City:CABOT
Mailing Address - State:AR
Mailing Address - Zip Code:72023-3693
Mailing Address - Country:US
Mailing Address - Phone:501-628-5555
Mailing Address - Fax:501-628-5556
Practice Address - Street 1:12 MARLOU DR
Practice Address - Street 2:
Practice Address - City:CABOT
Practice Address - State:AR
Practice Address - Zip Code:72023-3693
Practice Address - Country:US
Practice Address - Phone:501-628-5555
Practice Address - Fax:501-628-5556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-15
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR145765608Medicaid