Provider Demographics
NPI:1942338736
Name:NORTEN-HILL, MISTIE E (DMD)
Entity Type:Individual
Prefix:DR
First Name:MISTIE
Middle Name:E
Last Name:NORTEN-HILL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:MISTIE
Other - Middle Name:E
Other - Last Name:NORTEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:651 W TERRA COTTA AVE
Mailing Address - Street 2:#111
Mailing Address - City:CRYSTAL LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60014-3404
Mailing Address - Country:US
Mailing Address - Phone:815-455-6933
Mailing Address - Fax:815-455-6942
Practice Address - Street 1:651 W TERRA COTTA AVE
Practice Address - Street 2:#111
Practice Address - City:CRYSTAL LAKE
Practice Address - State:IL
Practice Address - Zip Code:60014-3404
Practice Address - Country:US
Practice Address - Phone:815-455-6933
Practice Address - Fax:815-455-6942
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist