Provider Demographics
NPI:1508019613
Name:HILL, KARLENE-ANNE (DDS)
Entity Type:Individual
Prefix:DR
First Name:KARLENE-ANNE
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12316 NEW HAMPSHIRE AVE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-2956
Mailing Address - Country:US
Mailing Address - Phone:301-622-5610
Mailing Address - Fax:301-622-5832
Practice Address - Street 1:12316 NEW HAMPSHIRE AVE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-2956
Practice Address - Country:US
Practice Address - Phone:301-622-5610
Practice Address - Fax:301-622-5832
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-03
Last Update Date:2008-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD122561223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC9178305Medicaid
MD9178305Medicaid