| Jeffrey S Hall, Md, Dmd | |
|
9221 University Blvd Building D, Suite 1-a North Charleston SC 29406-9148 | |
| (843) 569-0904 | |
| (843) 569-0961 |
| Full Name | Jeffrey S Hall, Md, Dmd |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 9221 University Blvd, North Charleston, South Carolina |
| Authorized Official Name and Position | Jeffrey S Hall (PRACTITIONER) |
| Authorized Official Contact | 8435690904 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey S Hall, Md, Dmd 9221 University Blvd Building D, Suite 1-a North Charleston SC 29406-9148 Ph: (843) 569-0904 | Jeffrey S Hall, Md, Dmd 9221 University Blvd Building D, Suite 1-a North Charleston SC 29406-9148 Ph: (843) 569-0904 |
| NPI Number | 1093874562 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 06/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093874562 | NPI | - | NPPES |
| ZA9890 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2921 (South Carolina) | Primary |
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