Provider Demographics
NPI:1245408277
Name:HILL, MONIQUE PATRICE (DDS)
Entity type:Individual
Prefix:DR
First Name:MONIQUE
Middle Name:PATRICE
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 1:3509 LORNA ROAD
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35216
Mailing Address - Country:US
Mailing Address - Phone:205-987-7044
Mailing Address - Fax:205-324-5188
Practice Address - Street 1:3509 LORNA ROAD
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35216
Practice Address - Country:US
Practice Address - Phone:205-987-7044
Practice Address - Fax:205-324-5188
Is Sole Proprietor?:No
Enumeration Date:2008-02-12
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5587122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist