Individual
DR. MARK M HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1504 DENTAL DR, BEDFORD, IN 47421-3574
(812) 275-7975
(812) 275-7244
Mailing address
19 MEADOW MOOR WAY, MITCHELL, IN 47446-1057
(812) 849-5135
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007788
IN
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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