NPI 1366972671 · live from the CMS NPI Registry
Gemma Modell Hill, DDS, MS
Dentist, Orthodontics and Dentofacial Orthopedics in Clackamas, OR. National Provider Identifier 1366972671, active.
NPI record
| NPI | 1366972671 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 14210 Se Sunnyside Rd Ste 300, Clackamas, OR 97015 |
| Practice phone | 503-659-5000 |
| Mailing address | 4535 Sw Cullen Blvd, Portland, OR 97221 |
| Enumerated | June 19, 2017 |
| Last updated | July 16, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 2901022204 (MI) |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | DE61337356 (WA) |
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | D11698 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.