Jon Bradley Hall in Jacksonville - General Practice

Jon Bradley Hall - NPI 1710198551

Jon Bradley Hall is a General Practice in Jacksonville, Florida. Jon Bradley Hall practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jon Bradley Hall is 1710198551. The last update date is 2017-01-10.

Jon Bradley Hall's current location address is Po Box 600577, Jacksonville, Florida. You can contact this provider via phone number 9044918005 and fax number 9044918585. The mailing address for Jon Bradley Hall is Po Box 600577, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Jon Bradley Hall
Address Po Box 600577, Jacksonville, Florida
Phone Number 9044918005
Fax Number 9044918585
Sole Proprietor N
Credentials D.M.D.

NPI Number Detail

NPI Number 1710198551
Provider Enumeration Date 2007-05-24
Last Updated Date 2017-01-10

Provider Mailing Address Detail

Address Po Box 600577
City Jacksonville
State Florida (FL)
Post Code 322600577
Phone Number 9044918005
Fax Number 9044918585

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DN 12909
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Jon Bradley Hall

What is the unique 10-digit identifier code issued to Jon Bradley Hall by the Centers for Medicare & Medicaid Services?

The Jon Bradley Hall has been assigned the NPI (National Provider Identifier) 1710198551 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Jon Bradley Hall's facilities are situated?

The facilities of Jon Bradley Hall are physically located at the following address: Po Box 600577, Jacksonville, FL, 322600577.

What is Jon Bradley Hall's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jon Bradley Hall's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services issue the 1710198551 to Jon Bradley Hall?

The Jon Bradley Hall received its 1710198551 assignment from the Centers for Medicare & Medicaid Services on 2007-05-24.

As of what date were the details related to Jon Bradley Hall most recently updated or revised?

The information pertaining to Jon Bradley Hall, including its address, specialty, and other relevant details, was last updated or revised on 2017-01-10.

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