# HALL FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1679972913
- **Authorized official:** DR. SETH A HALL D.D.S. (OWNER)
- **Authorized official phone:** (812) 583-0506

## Contact information

- **Practice address:** 7101 SOUTHEASTERN AVE, INDIANAPOLIS, IN 46239-1207
- **Practice address phone:** (317) 356-0919
- **Practice address fax:** (317) 357-5522
- **Mailing address:** 7101 SOUTHEASTERN AVE, INDIANAPOLIS, IN 46239-1207
- **Mailing address phone:** (317) 356-0919
- **Mailing address fax:** (317) 357-5522

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12011450A | IN | Yes |

## Other

- **Enumeration date:** 08/21/2014
- **Last updated:** 08/21/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1427301316 | ITIN | IN |
| 01 | — | 1700892155 | ITIN | IN |
