Provider Demographics
NPI:1548416100
Name:HILL, JAIME JEAN (DDS)
Entity Type:Individual
Prefix:MRS
First Name:JAIME
Middle Name:JEAN
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:PO BOX 2408
Mailing Address - Street 2:
Mailing Address - City:CODY
Mailing Address - State:WY
Mailing Address - Zip Code:82414-2408
Mailing Address - Country:US
Mailing Address - Phone:307-527-4455
Mailing Address - Fax:307-587-4561
Practice Address - Street 1:1110 BECK AVE
Practice Address - Street 2:
Practice Address - City:CODY
Practice Address - State:WY
Practice Address - Zip Code:82414-3624
Practice Address - Country:US
Practice Address - Phone:307-527-4455
Practice Address - Fax:307-587-4561
Is Sole Proprietor?:No
Enumeration Date:2008-08-14
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY1194122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist