Provider Demographics
NPI:1053524306
Name:HILL, BRETT JOSEPH (DDS)
Entity type:Individual
Prefix:
First Name:BRETT
Middle Name:JOSEPH
Last Name:HILL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9615 CALDWELL COMMONS CIR
Mailing Address - Street 2:SUITE A
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-8111
Mailing Address - Country:US
Mailing Address - Phone:704-896-8452
Mailing Address - Fax:704-896-8124
Practice Address - Street 1:9615 CALDWELL COMMONS CIR
Practice Address - Street 2:SUITE A
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-8111
Practice Address - Country:US
Practice Address - Phone:704-896-8452
Practice Address - Fax:704-896-8124
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC59151223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1457437436OtherORGANIZATIONAL NPI