MEDICARE: HALLS FAMILY DENTISTRY, PLLC

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
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1568962348
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HALLS FAMILY DENTISTRY, PLLC

Provider Business Mailing Address
First Line	:	3720 CUNNINGHAM RD
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37918-5303
Country	:	US
Telephone Number	:	865-922-7469
Fax Number	:

Provider Business Practice Location Address
First Line	:	3720 CUNNINGHAM RD
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37918-5303
Country	:	US
Telephone Number	:	865-922-7469
Fax Number	:

Authorized Official
Title or Position	:	DENTIST/PRESIDENT
Name	:	DR. LINDA HUANG
Credential	:	DDS
Telephone Number	:	865-922-7469

Provider Enumeration Date	:	02/18/2018
Last Update Date	:	10/24/2018

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