Provider Demographics
NPI:1730210022
Name:HILL, WILLIAM MICHAEL (DDS)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:MICHAEL
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 1:40 VIRGINIA RD
Mailing Address - Street 2:
Mailing Address - City:TYNGSBORO
Mailing Address - State:MA
Mailing Address - Zip Code:01879-2349
Mailing Address - Country:US
Mailing Address - Phone:978-649-3299
Mailing Address - Fax:978-649-1859
Practice Address - Street 1:315 MIDDLESEX RD
Practice Address - Street 2:SUITE 2
Practice Address - City:TYNGSBORO
Practice Address - State:MA
Practice Address - Zip Code:01879-1028
Practice Address - Country:US
Practice Address - Phone:978-649-3304
Practice Address - Fax:978-649-1859
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA159421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice