Provider Demographics
NPI:1568655397
Name:HILL, JONATHAN S (DMD)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:S
Last Name:HILL
Suffix:
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 1:308 TUCKERTON RD
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08055-8666
Mailing Address - Country:US
Mailing Address - Phone:609-654-2454
Mailing Address - Fax:609-654-6568
Practice Address - Street 1:308 TUCKERTON RD
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:NJ
Practice Address - Zip Code:08055-8666
Practice Address - Country:US
Practice Address - Phone:609-654-2454
Practice Address - Fax:609-654-6568
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-24
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ23480122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist