Active NPI
Holly Hill, DDS
- General Practice Dentistry
- Andover, MN
National Provider Identifier
1841638384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D13240
- Practice address
- 3480 Bunker Lake Blvd NW Ste 202
Andover, MN 55304-2086 - Phone
- (763) 427-4780
- Fax
- (763) 427-8471
- NPI assigned
- Jun 6, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D13240 | MN | Primary |
Addresses
Primary practice location
3480 Bunker Lake Blvd NW Ste 202
Andover, MN 55304-2086
Mailing address
3480 Bunker Lake Blvd NW Ste 202
Andover, MN 55304-2086
Phone (763) 427-4780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andover Family Dentistry, LLC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Andover, MN
- NPI 1730256132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572998400000",
"number": "1841638384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3480 BUNKER LAKE BLVD NW STE 202",
"city": "ANDOVER",
"state": "MN",
"postal_code": "553042086",
"telephone_number": "763-427-4780",
"fax_number": "763-427-8471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3480 BUNKER LAKE BLVD NW STE 202",
"city": "ANDOVER",
"state": "MN",
"postal_code": "553042086",
"telephone_number": "763-427-4780",
"fax_number": "763-427-8471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "HOLLY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-06",
"last_updated": "2019-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MN",
"license": "D13240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Andover, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.