Hill, Willie James

Hill, Willie James is an sole proprietor health care provider with primary practice located at 514 East Woodrow Wilson Ave Suite F, Jackson MS 39216-4505. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Dentist is his primary health care specialty. Hill, Willie James can be contacted via phone (601) 982-3132.

Contact Information

Primary practice address
514 East Woodrow Wilson Ave Suite F Jackson MS 39216-4505
Fax: (601) 982-3136
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 1837-79 Mississippi
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X OS-24-79 Mississippi

Profile Details

NPI number 1366537623
LBN Legal business name Hill, Willie James
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366537623 NPPES
Mississippi MEDICAID 00064716

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