Individual
DR. JON BRADLEY HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5211 S FLETCHER AVE, STE 230, FERNANDINA BEACH, FL 32034-5370
(904) 491-8005
(904) 491-8585
Mailing address
PO BOX 600577, JACKSONVILLE, FL 32260-0577
(904) 491-8005
(904) 491-8585
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 12909
FL
Other
Enumeration date
05/24/2007
Last updated
01/10/2017
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