Kenneth Bradley Hall in Watkinsville - Dentist
Kenneth Bradley Hall - NPI 1053358366
Kenneth Bradley Hall is a Dentist in Watkinsville, Georgia. Kenneth Bradley Hall practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kenneth Bradley Hall is 1053358366. The last update date is 2016-12-13.
Kenneth Bradley Hall's current location address is 1360 Caduceus Way, Watkinsville, Georgia. You can contact this provider via phone number 7065433629 and fax number 7065435107. The mailing address for Kenneth Bradley Hall is 1360 Caduceus Way, Watkinsville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Bradley Hall |
|---|---|
| Address | 1360 Caduceus Way, Watkinsville, Georgia |
| Phone Number | 7065433629 |
| Fax Number | 7065435107 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1053358366 |
|---|---|
| Provider Enumeration Date | 2006-06-02 |
| Last Updated Date | 2016-12-13 |
Provider Mailing Address Detail
| Address | 1360 Caduceus Way |
|---|---|
| City | Watkinsville |
| State | Georgia (GA) |
| Post Code | 306777300 |
| Phone Number | 7065433629 |
| Fax Number | 7065435107 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DN012753 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZG2753 | SC | -- | |
| 399593491A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kenneth Bradley Hall by the Centers for Medicare & Medicaid Services?
The Kenneth Bradley Hall has been issued the NPI (National Provider Identifier) 1053358366 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Kenneth Bradley Hall?
The Kenneth Bradley Hall is situated at 1360 Caduceus Way, in the city of Watkinsville, state of GA, with the zip code 306777300.
What is the Kenneth Bradley Hall's specialty and taxonomy code?
The Kenneth Bradley Hall's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date was the 1053358366 assigned to Kenneth Bradley Hall?
The Kenneth Bradley Hall was issued its 1053358366 on 2006-06-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Kenneth Bradley Hall, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kenneth Bradley Hall, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-12-13.
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