Organization
LOGAN B HALL, DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOGAN B HALL DDS (OPERATING DENTAL PROVIDER)
(479) 751-4609
Entity
Organization
Contact information
Practice address
712 W MEADOW AVE, SPRINGDALE, AR 72764-4462
(479) 751-4609
(479) 751-6519
Mailing address
712 W MEADOW AVE, SPRINGDALE, AR 72764-4462
(479) 751-4609
(479) 751-6519
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4177
DENTAL INSURANCE
AR
Enumeration date
07/22/2020
Last updated
07/22/2020
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