Individual
DR. DUSTIN JORDAN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
6045 KENTUCKY DAM RD, PADUCAH, KY 42003-9472
(270) 898-6215
(270) 898-6504
Mailing address
6045 KENTUCKY DAM RD, PADUCAH, KY 42003-9472
(270) 898-6215
(270) 898-6504
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8409
KY
Other
Enumeration date
06/20/2008
Last updated
06/20/2008
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