Individual
DR. HAL ELDIN HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1223 N ROCK RD, BUILDING F, SUITE 100, WICHITA, KS 67206-1269
(316) 687-0100
(316) 686-0181
Mailing address
1223 N ROCK RD, BUILDING F, SUITE 100, WICHITA, KS 67206-1269
(316) 687-0100
(316) 686-0181
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6542
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200691390B
—
KS
01
—
KA122005
MEDICARE
KS
Enumeration date
01/08/2006
Last updated
05/24/2017
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