Individual
JOHN LEGLAGEN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3359 HARTLEY DRIVE, ADRIAN, MI 49221
(517) 862-1590
Mailing address
3359 HARTLEY DRIVE, ADRIAN, MI 49221
(517) 862-1590
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
2901016896
MI
1223G0001X
General Practice Dentistry
019.023197
IL
1223G0001X
General Practice Dentistry
12011912A
IN
1223G0001X
General Practice Dentistry
Primary
30.020619
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0317521
—
OH
05
—
201134060
—
IN
05
—
420322612
—
MI
Enumeration date
09/22/2006
Last updated
01/07/2019
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