O. Jerry Hill, Jr. DDS, PA

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

4205 Issued in NC

Legal business name

O. JERRY HILL, JR. DDS, PA

Practice address

925 Thomas St
Statesville, NC 28677-3484

Phone

(704) 873-0263

Fax

(704) 873-1813

NPI assigned

Jun 12, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Oren Jerry Hill Jr., DDS

Title

Owner

Phone

(704) 873-0263

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1821292210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 THOMAS ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773484",
            "telephone_number": "704-873-0263",
            "fax_number": "704-873-1813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 THOMAS ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773484",
            "telephone_number": "704-873-0263",
            "fax_number": "704-873-1813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O. JERRY HILL, JR. DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "OREN",
        "authorized_official_middle_name": "JERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-873-0263",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "4205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDCRPIN",
            "identifier": "241074",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8993902",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Statesville, NC
• Providers in Statesville, NC by specialty
• Oral and Maxillofacial Surgery (Dentist) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.