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Contact Information

KENNETH W HILL, DDS
295 SUMMAR AVE
JACKSON, TN38301
 Phone: 731-421-6764
 Fax: 731-421-5148
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for KENNETH W HILL · (Male)

NPI Number 1497891469
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 01/29/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • TN License # DS2635
  • TN Medicaid 3225766
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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