Provider Demographics
NPI:1487851093
Name:HILL, DOUGLAS GRAY (DDS)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:GRAY
Last Name:HILL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 STOCKTON RD
Mailing Address - Street 2:
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28504-2035
Mailing Address - Country:US
Mailing Address - Phone:252-527-3223
Mailing Address - Fax:
Practice Address - Street 1:208 GLENWOOD AVE
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28501-3842
Practice Address - Country:US
Practice Address - Phone:252-527-5333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC37721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice