| A. Lavar Hall D.d.s., Inc | |
|
526 Jefferson St Greenfield OH 45123-1356 | |
| (937) 981-3184 | |
| Not Available |
| Full Name | A. Lavar Hall D.d.s., Inc |
|---|---|
| Speciality | Dentist |
| Location | 526 Jefferson St, Greenfield, Ohio |
| Authorized Official Name and Position | Antone Lavar Hall (PRESIDENT) |
| Authorized Official Contact | 9379813184 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A. Lavar Hall D.d.s., Inc 526 Jefferson St Greenfield OH 45123-1356 Ph: (937) 981-3184 | A. Lavar Hall D.d.s., Inc 526 Jefferson St Greenfield OH 45123-1356 Ph: (937) 981-3184 |
| NPI Number | 1053577460 |
|---|---|
| Provider Enumeration Date | 08/05/2008 |
| Last Update Date | 08/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053577460 | NPI | - | NPPES |
| 0368678 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 14762 (Ohio) | Primary |
Greenfield Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1045 Jefferson St Ste A, Greenfield, OH 45123 Phone: 937-242-6677 Fax: 937-203-3994 |