MEDICARE: DR. DAVID CHRISTOPHER HALL D.M.D.

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	4380	AL

General Provider Information

NPI Number	:	1609932722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID CHRISTOPHER HALL D.M.D.

Provider Business Mailing Address
First Line	:	PO BOX 827
Second Line	:
City	:	MONTROSE
State	:	AL
Zip	:	36559-0827
Country	:	US
Telephone Number	:	251-476-1983
Fax Number	:

Provider Business Practice Location Address
First Line	:	2157 AIRPORT BLVD
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36606-1719
Country	:	US
Telephone Number	:	251-476-1983
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/01/2007
Last Update Date	:	07/08/2007

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