John Reagan Hall is a Dentist in Gulfport, Mississippi. John Reagan Hall practices all healthcare services and medical treatments related to Dentist. The NPI Number for John Reagan Hall is 1366514135. The last update date is 2007-07-08.
John Reagan Hall's current location address is 2216 17th St, Gulfport, Mississippi. You can contact this provider via phone number 2288631911 and fax number 2288639211. The mailing address for John Reagan Hall is 2216 17th St, Gulfport, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Reagan Hall |
|---|---|
| Address | 2216 17th St, Gulfport, Mississippi |
| Phone Number | 2288631911 |
| Fax Number | 2288639211 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1366514135 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2216 17th St |
|---|---|
| City | Gulfport |
| State | Mississippi (MS) |
| Post Code | 395012901 |
| Phone Number | 2288631911 |
| Fax Number | 2288639211 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2761-93 |
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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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What is the unique 10-digit identifier code assigned to John Reagan Hall by the Centers for Medicare & Medicaid Services?
The John Reagan Hall has been issued the NPI (National Provider Identifier) 1366514135 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where John Reagan Hall is located?
The John Reagan Hall is situated at the following address: 2216 17Th St, Gulfport, MS, 395012901.
What is John Reagan Hall's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for John Reagan Hall is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date was the 1366514135 assigned to John Reagan Hall?
The John Reagan Hall was issued its 1366514135 on 2006-11-15, 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 John Reagan Hall, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to John Reagan Hall, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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