Individual
DR. JONATHAN WILLIAM HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2953 BROAD AVE, CHRIST COMMUNITY HEALTH SERVICES INC, MEMPHIS, TN 38112-2957
(901) 271-6050
(901) 271-6099
Mailing address
2595 CENTRAL AVENUE, CHRIST COMMUNITY HEALTH SERVICES INC, MEMPHIS, TN 38104
(901) 260-8551
(901) 260-8590
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9151
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1520339
—
TN
Enumeration date
06/08/2010
Last updated
06/13/2013
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