Individual
JOHN EDWARD HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2128 OAK GROVE RD, HATTIESBURG, MS 39402-1572
(601) 268-0444
(601) 268-0445
Mailing address
PO BOX 17828, HATTIESBURG, MS 39404-7828
(601) 268-0444
(601) 268-0445
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
254890
MS
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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