Provider Demographics
NPI:1780237644
Name:HILL PEDIATRIC DENTISTRY AND ORTHODONTICS
Entity type:Organization
Organization Name:HILL PEDIATRIC DENTISTRY AND ORTHODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AVIONNE
Authorized Official - Middle Name:A
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:202-805-9493
Mailing Address - Street 1:10230 NEW HAMPSHIRE AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20903-1422
Mailing Address - Country:US
Mailing Address - Phone:301-408-3131
Mailing Address - Fax:
Practice Address - Street 1:10230 NEW HAMPSHIRE AVE STE 104
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20903-1422
Practice Address - Country:US
Practice Address - Phone:301-408-3131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HILL PEDIATRIC DENTISTRY AND ORTHODONTICS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-07-19
Last Update Date:2019-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty
No122300000XDental ProvidersDentistGroup - Multi-Specialty
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty