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NPI Code Detail

MEDICARE: DR. EMILY HALL DMD

MEDICARE: DR. EMILY HALL DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryD008998AZ

General Provider Information

NPI Number : 1891109682
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EMILY HALL DMD
Provider Business Mailing Address
First Line : 1425 S GREENFIELD RD
Second Line : BLDG 2, STE 110
City : MESA
State : AZ
Zip : 85206-5529
Country : US
Telephone Number : 480-854-3434
Fax Number :
Provider Business Practice Location Address
First Line : 1425 S GREENFIELD RD
Second Line : BLDG 2, STE 110
City : MESA
State : AZ
Zip : 85206-5529
Country : US
Telephone Number : 480-854-3434
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2014
Last Update Date : 05/30/2015

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Directions to “ DR. EMILY HALL DMD” Practice Location

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