Dwayne Preston Hall, DDS | |
5944 Stetson Hills Blvd, Ste 100, Colorado Springs, CO 80922-2504 | |
(719) 638-2260 | |
(719) 638-2261 |
Full Name | Dwayne Preston Hall |
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Gender | Male |
Speciality | Dentist |
Location | 5944 Stetson Hills Blvd, Colorado Springs, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003933847 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 8469 (Colorado) | Primary |
Entity Name | Peak Vista Community Health Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730166034 PECOS PAC ID: 4688583974 Enrollment ID: O20031110000337 |
Mailing Address | Practice Location Address |
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Dwayne Preston Hall, DDS 3944 Diamond Ridge Vw, Colorado Springs, CO 80918-5623 Ph: (719) 638-2260 | Dwayne Preston Hall, DDS 5944 Stetson Hills Blvd, Ste 100, Colorado Springs, CO 80922-2504 Ph: (719) 638-2260 |
Dr. Paul J. Lombardi, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2828 International Cir, Suite 100, Colorado Springs, CO 80910 Phone: 719-632-5700 | |
Dr. Yasufumi Yamazaki, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 2436 S Academy Blvd, Colorado Springs, CO 80916 Phone: 719-331-2336 Fax: 719-391-1625 | |
Tetyana Korchynskyy, DMD, MSD Dentist Medicare: Medicare Enrolled Practice Location: 1694 E Cheyenne Mountain Blvd, Colorado Springs, CO 80906 Phone: 719-538-4671 | |
Dr. Abraham Kanjappallil Thomas, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5426 N Academy Blvd, Ste 202, Colorado Springs, CO 80918 Phone: 719-266-5420 Fax: 719-266-6988 | |
Dr. Derek Allan Miller, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6160 Tutt Blvd, Suite 140, Colorado Springs, CO 80923 Phone: 719-550-1010 Fax: 719-550-1212 | |
Dr. Alexandra Blomquist, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 595 Chapel Hills Dr Ste 105, Colorado Springs, CO 80920 Phone: 719-475-2511 |