Provider Demographics
NPI:1629365192
Name:HILL, JENNIFER HOPE (DDS)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:HOPE
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 1:11211 CANTRELL SUITE 200
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72212
Mailing Address - Country:US
Mailing Address - Phone:501-223-9489
Mailing Address - Fax:501-223-9614
Practice Address - Street 1:11211 CANTRELL SUITE 200
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72212
Practice Address - Country:US
Practice Address - Phone:501-223-9489
Practice Address - Fax:501-223-9614
Is Sole Proprietor?:No
Enumeration Date:2011-07-06
Last Update Date:2017-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN92891223G0001X
AR3872122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice