Individual
DR. JOHN REAGAN HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2216 17TH ST, GULFPORT, MS 39501-2901
(228) 863-1911
(228) 863-9211
Mailing address
2216 17TH ST, GULFPORT, MS 39501-2901
(228) 863-1911
(228) 863-9211
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2761-93
MS
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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