Individual
DR. EMILY DIXON HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
110 US-61, NATCHEZ, MS 39120
(601) 640-3798
Mailing address
552 RATCLIFF PL, NATCHEZ, MS 39120-4039
(601) 597-9113
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4253-21
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4253-21
DENTAL LICENSE
MS
Enumeration date
11/30/2021
Last updated
11/30/2021
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