| Hall Family Dentistry | |
|
7101 Southeastern Ave Indianapolis IN 46239-1207 | |
| (317) 356-0919 | |
| (317) 357-5522 |
| Full Name | Hall Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 7101 Southeastern Ave, Indianapolis, Indiana |
| Authorized Official Name and Position | Seth A Hall (OWNER) |
| Authorized Official Contact | 8125830506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hall Family Dentistry 7101 Southeastern Ave Indianapolis IN 46239-1207 Ph: (317) 356-0919 | Hall Family Dentistry 7101 Southeastern Ave Indianapolis IN 46239-1207 Ph: (317) 356-0919 |
| NPI Number | 1679972913 |
|---|---|
| Provider Enumeration Date | 08/21/2014 |
| Last Update Date | 08/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679972913 | NPI | - | NPPES |
| 1700892155 | Other | IN | ITIN |
| 1427301316 | Other | IN | ITIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12011450A (Indiana) | Primary |
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