| Dr Kenneth Bradley Hall, DMD | |
|
1360 Caduceus Way, Bldg 900 Ste 101, Watkinsville, GA 30677-7300 | |
| (706) 543-3629 | |
| (706) 543-5107 |
| Full Name | Dr Kenneth Bradley Hall |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 1360 Caduceus Way, Watkinsville, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053358366 | NPI | - | NPPES |
| ZG2753 | Medicaid | SC | |
| 399593491A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN012753 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth Bradley Hall, DMD 1360 Caduceus Way, Bldg 900 Ste 101, Watkinsville, GA 30677-7300 Ph: (706) 543-3629 | Dr Kenneth Bradley Hall, DMD 1360 Caduceus Way, Bldg 900 Ste 101, Watkinsville, GA 30677-7300 Ph: (706) 543-3629 |
Dr. Richard C Manus Jr., D.M.D. Dentist Medicare: May Accept Medicare Assignments Practice Location: 1360 Caduceus Way, Building 500 Suite 101, Watkinsville, GA 30677 Phone: 706-548-0604 Fax: 706-353-0884 | |
Ryan Adams, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1285 Virgil Langford Rd, Watkinsville, GA 30677 Phone: 706-521-0352 | |
Chandler Grove, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1360 Caduceus Way, Watkinsville, GA 30677 Phone: 706-543-3629 | |
Dr. Wendy Bamford, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1120 Mars Hill Rd Ste 100, Watkinsville, GA 30677 Phone: 706-769-1945 | |
Kara Hester Johnson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1360 Caduceus Way, Watkinsville, GA 30677 Phone: 706-543-3629 | |
Dr. Mark A Willis, D.D.S., M.S., P.A. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1795 Resurgence Dr, Watkinsville, GA 30677 Phone: 479-692-1392 Fax: 770-982-0005 |