| Nathan Hall Dmd Pl | |
|
4484 Legendary Dr Suite B Destin FL 32541 | |
| (850) 460-2801 | |
| (850) 460-2817 |
| Full Name | Nathan Hall Dmd Pl |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4484 Legendary Dr, Destin, Florida |
| Authorized Official Name and Position | Nathan C Hall (OWNER/DENTIST) |
| Authorized Official Contact | 8504602801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nathan Hall Dmd Pl 4484 Legendary Dr Suite B Destin FL 32541 Ph: (850) 460-2801 | Nathan Hall Dmd Pl 4484 Legendary Dr Suite B Destin FL 32541 Ph: (850) 460-2801 |
| NPI Number | 1073861704 |
|---|---|
| Provider Enumeration Date | 08/28/2012 |
| Last Update Date | 08/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073861704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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