Individual
DR. REX BLEWSTER HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
102 POPWELL AVE, CLANTON, AL 35045-2324
(205) 755-3530
(205) 755-3589
Mailing address
102 POPWELL AVE, CLANTON, AL 35045-2324
(205) 755-3530
(205) 755-3589
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3760
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
511735
UNITED CONCORDIA
—
01
—
92980
BCBS OF AL
—
Enumeration date
07/07/2008
Last updated
07/07/2008
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