Healthcare Provider Details

I. General information

NPI: 1831025501
Provider Name (Legal Business Name): HAL PATTON, D.D.S., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1403 TROY RD STE B
EDWARDSVILLE IL
62025-2590
US

IV. Provider business mailing address

1403 TROY RD STE B
EDWARDSVILLE IL
62025-2590
US

V. Phone/Fax

Practice location:
  • Phone: 618-656-2277
  • Fax: 618-656-7732
Mailing address:
  • Phone: 618-656-2277
  • Fax: 618-656-7732

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. HAROLD R PATTON
Title or Position: PRESIDENT
Credential: D.D.S.
Phone: 618-656-2277