Angie L. Hill, D.D.S.

Individual provider Active NPI General Practice Dentistry · Decherd, TN

NPI 1750435228 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1750435228
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DS 7487 (TN)
Practice address
102 Mary Sharp Dr
Decherd, TN 37324-3806
Phone
(931) 967-6861
Fax
(931) 967-7643
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
DS 7487TNMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS 7487 TN Yes

Addresses

Primary practice location

102 Mary Sharp Dr
Decherd, TN 37324-3806

Mailing address

PO Box 465
102 Mary Sharp Drive
Decherd, TN 37324-0465
Phone (931) 967-6861

Other providers in Decherd, TN

All providers in Decherd, TN · General Practice Dentistry in Tennessee

Sources for this page

Verify at the official NPI Registry.