| James B. Hall, Dds, Ms, Pa | |
|
160 Pierce Avenue Macon GA 31204 | |
| (478) 743-0901 | |
| (478) 745-8615 |
| Full Name | James B. Hall, Dds, Ms, Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 160 Pierce Avenue, Macon, Georgia |
| Authorized Official Name and Position | James Benedict Hall (PRESIDENT) |
| Authorized Official Contact | 4787430901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James B. Hall, Dds, Ms, Pa 160 Pierce Avenue Macon GA 31204 Ph: (478) 743-0901 | James B. Hall, Dds, Ms, Pa 160 Pierce Avenue Macon GA 31204 Ph: (478) 743-0901 |
| NPI Number | 1881813400 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 07/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881813400 | NPI | - | NPPES |
| 108232 | Other | GA | DORAL DENTAL USA |
| 100203 | Other | GA | AVESIS DENTAL |
| 00046395A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 7573 (Georgia) | Primary |
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