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NPI Code Detail

MEDICARE: DR. PAULA MARIE HALL-REAGAN DMD

MEDICARE:  DR. PAULA MARIE HALL-REAGAN  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 DentistryDN010788GA

General Provider Information

NPI Number : 1770528408
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAULA MARIE HALL-REAGAN DMD
Provider Business Mailing Address
First Line : 6140 YORKRIDGE DR
Second Line :
City : ALPHARETTA
State : GA
Zip : 30005-8397
Country : US
Telephone Number : 770-844-8290
Fax Number :
Provider Business Practice Location Address
First Line : 1290 ATHENS ST
Second Line :
City : GAINESVILLE
State : GA
Zip : 30507-7000
Country : US
Telephone Number : 770-531-5650
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2006
Last Update Date : 07/08/2007

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Directions to “ DR. PAULA MARIE HALL-REAGAN DMD” Practice Location

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