Organization
KEVIN HALL DDS OMFS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN P HALL DDS (OWNER)
(877) 667-7669
Entity
Organization
Contact information
Practice address
2776 CLEVELAND AVE, FORT MYERS, FL 33901-5864
(877) 667-7669
(405) 848-0033
Mailing address
PO BOX 269070, OKLAHOMA CITY, OK 73126-9070
(877) 667-7669
(405) 848-0033
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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