Individual
MR. JOHN ROBERT HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1004 OAK DRIVE, RICHMOND, IN 47374
(765) 935-1997
Mailing address
3063 DOGWOOD LN, RICHMOND, IN 47374-3530
(765) 935-3073
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12006602
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000083630
ANTHEM ID NUMBER
IN
05
—
100354300A
—
IN
Enumeration date
08/19/2005
Last updated
07/09/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us