# HALLY DENTAL LLC

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

## Provider details

- **NPI number:** 1457089815
- **Authorized official:** DR. KORBIN DEANE HALLY DDS (DENTIST)
- **Authorized official phone:** (405) 844-6333

## Contact information

- **Practice address:** 2600 TAYLER ST, EDMOND, OK 73003-2134
- **Practice address phone:** (405) 844-6333
- **Mailing address:** 2600 TAYLER ST, EDMOND, OK 73003-2134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/12/2022
- **Last updated:** 08/12/2022