# KEVIN HALL DDS OMFS PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1174099196
- **Authorized official:** KEVIN P HALL DDS (OWNER)
- **Authorized official phone:** (877) 667-7669

## Contact information

- **Practice address:** 2776 CLEVELAND AVE, FORT MYERS, FL 33901-5864
- **Practice address phone:** (877) 667-7669
- **Practice address fax:** (405) 848-0033
- **Mailing address:** PO BOX 269070, OKLAHOMA CITY, OK 73126-9070
- **Mailing address phone:** (877) 667-7669
- **Mailing address fax:** (405) 848-0033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 10/17/2018
- **Last updated:** 10/17/2018