Individual
DR. CHARLES TERRY HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
VA MEDICAL CENTER, DENTAL CLINIC, 400 VETERANS AVE, BILOXI, MS 39531
(228) 523-5103
(228) 523-4910
Mailing address
2378 PARK PLACE DR, GULFPORT, MS 39507-2214
(228) 896-9347
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
175377
MS
Other
Enumeration date
06/20/2006
Last updated
07/08/2007
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