Individual
DANIEL DEAN HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
405 WEST ROANE AVE, EUPORA, MS 39744
(662) 258-2224
(662) 258-4412
Mailing address
405 WEST ROANE AVE, EUPORA, MS 39744
(662) 258-2224
(662) 258-4412
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
201583
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00060002
—
MS
Enumeration date
09/05/2006
Last updated
07/08/2007
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