Provider Demographics
NPI:1639326531
Name:CHRISTOPHER B HILL D.M.D., LLC
Entity Type:Organization
Organization Name:CHRISTOPHER B HILL D.M.D., LLC
Other - Org Name:CITY SMILES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:BRADLEY
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:314-375-5353
Mailing Address - Street 1:1113 LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63101-1103
Mailing Address - Country:US
Mailing Address - Phone:314-375-5353
Mailing Address - Fax:314-375-5050
Practice Address - Street 1:1113 LOCUST ST
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63101-1103
Practice Address - Country:US
Practice Address - Phone:314-375-5353
Practice Address - Fax:314-375-5050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-21
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004015770122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty