# HALLS ADVANCED DENTISTRY & IMPLANT CENTER PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164545745
- **Authorized official:** DR. DAVID HALLS DMD (MEMBER)
- **Authorized official phone:** (928) 352-5550

## Contact information

- **Practice address:** 308 N WHITE MOUNTAIN RD, SUITE \#D, SHOW LOW, AZ 85901-5260
- **Practice address phone:** (928) 242-0016
- **Practice address fax:** (928) 537-4109
- **Mailing address:** 308 N WHITE MOUNTAIN RD, SUITE \#D, SHOW LOW, AZ 85901-5260
- **Mailing address phone:** (928) 532-5550
- **Mailing address fax:** (928) 537-4109

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/09/2007
- **Last updated:** 06/29/2018