Organization
HALL FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SETH A HALL D.D.S. (OWNER)
(812) 583-0506
Entity
Organization
Contact information
Practice address
7101 SOUTHEASTERN AVE, INDIANAPOLIS, IN 46239-1207
(317) 356-0919
(317) 357-5522
Mailing address
7101 SOUTHEASTERN AVE, INDIANAPOLIS, IN 46239-1207
(317) 356-0919
(317) 357-5522
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011450A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427301316
ITIN
IN
01
—
1700892155
ITIN
IN
Enumeration date
08/21/2014
Last updated
08/21/2014
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