Provider Demographics
NPI:1871944280
Name:HILL, MEREDITH CHRISTINE KEY (DDS)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:CHRISTINE KEY
Last Name:HILL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1107 INDIANA ST
Mailing Address - Street 2:
Mailing Address - City:GRAHAM
Mailing Address - State:TX
Mailing Address - Zip Code:76450-4030
Mailing Address - Country:US
Mailing Address - Phone:940-549-6142
Mailing Address - Fax:940-549-7044
Practice Address - Street 1:1107 INDIANA ST
Practice Address - Street 2:
Practice Address - City:GRAHAM
Practice Address - State:TX
Practice Address - Zip Code:76450-4030
Practice Address - Country:US
Practice Address - Phone:940-549-6142
Practice Address - Fax:940-549-7044
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-27
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31820122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist