Individual
DR. ROGER A HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
375 1ST ST NW, CLEVELAND, TN 37311-5007
(423) 472-9514
Mailing address
4308 DALTON PIKE SE, CLEVELAND, TN 37323-9305
(423) 479-1346
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS0000003078
TN
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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