Individual
DR. TASHA E HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MSD
Contact information
Practice address
17800 CUMBERLAND RD, NOBLESVILLE, IN 46060-5409
(317) 773-5515
(317) 219-5708
Mailing address
1121 W MICHIGAN STREET, DS307B, INDIANAPOLIS, IN 46202-5186
(317) 278-3632
(317) 274-2603
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011772A
IN
122300000X
Dentist
30-023897
OH
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
12011772A
IN
Other
Enumeration date
05/03/2013
Last updated
12/20/2020
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