1336256403 NPI number — DR. ANN S HILL DDS

Table of content: DR. ANN S HILL DDS (NPI 1336256403)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336256403 NPI number — DR. ANN S HILL DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HILL
Provider First Name:
ANN
Provider Middle Name:
S
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DDS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FRIDLAND
Provider Other First Name:
ANN
Provider Other Middle Name:
S
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1336256403
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6685 DELMONICO DR STE A
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
COLORADO SPRINGS
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80919
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
719-535-8049
Provider Business Mailing Address Fax Number:
719-535-0261

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6685 DELMONICO DR STE A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COLORADO SPRINGS
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80919
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
719-535-8049
Provider Business Practice Location Address Fax Number:
719-535-0261
Provider Enumeration Date:
08/24/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 122300000X , with the licence number:  7307 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)