Provider Demographics
NPI:1841646213
Name:HILL, CURTIS JR (DMD)
Entity type:Individual
Prefix:
First Name:CURTIS
Middle Name:
Last Name:HILL
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 PALM BAY RD
Mailing Address - Street 2:STE A
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32905-3851
Mailing Address - Country:US
Mailing Address - Phone:321-412-6012
Mailing Address - Fax:321-720-0714
Practice Address - Street 1:1400 PALM BAY RD
Practice Address - Street 2:STE A
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32905-3851
Practice Address - Country:US
Practice Address - Phone:321-412-6012
Practice Address - Fax:321-728-0714
Is Sole Proprietor?:No
Enumeration Date:2016-05-04
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN11092122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist