MEDICARE: DR. PHILLIP CLARK HALL DDS

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	136561	UT

General Provider Information

NPI Number	:	1982643623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PHILLIP CLARK HALL DDS

Provider Business Mailing Address
First Line	:	335 E SAINT GEORGE BLVD STE 201
Second Line	:
City	:	SAINT GEORGE
State	:	UT
Zip	:	84770-7106
Country	:	US
Telephone Number	:	435-634-8338
Fax Number	:	435-218-7039

Provider Business Practice Location Address
First Line	:	335 E SAINT GEORGE BLVD STE 201
Second Line	:
City	:	SAINT GEORGE
State	:	UT
Zip	:	84770-7106
Country	:	US
Telephone Number	:	435-634-8338
Fax Number	:	435-218-7039

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

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	08/06/2020

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1104074079 — DR. JAMES T. PHILLIPS D.D.S.
Practice Location Address:

335 E SAINT GEORGE BLVD STE 201
SAINT GEORGE, UT
84770-7106

Practice Phone: 435-634-8338
Practice Fax:

1326177635 — DR. TERRY LEE COOKSON N.D., MSOM, L.AC.
Practice Location Address:

12 S GEORGE ST
AUGUSTA, ME
04330-7106

Practice Phone: 207-557-2557
Practice Fax: 207-623-4233

1952548794 — JEFFERY BAKER REG PHARMACIST
Practice Location Address:

4913 KARINGTON PLACE CT
SAINT LOUIS, MO
63129-7106

Practice Phone: 314-892-2511
Practice Fax:

1427838341 — DEANNA LYNN MUTH
Practice Location Address:

718 SAINT LOUIS PL
BISMARCK, ND
58504-7106

Practice Phone: 701-202-1526
Practice Fax:

1477365336 — DR. TAREK GHONEIM RPH
Practice Location Address:

160 SAINT JAMES PL
ATLANTIC CITY, NJ
08401-7106

Practice Phone: 347-751-3473
Practice Fax:

Directions to “ DR. PHILLIP CLARK HALL DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.