Individual
CHARLES R HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS,MS
Contact information
Practice address
1110 MERIDIAN ST N, HUNTSVILLE, AL 35801-4636
(256) 428-7276
(256) 428-7259
Mailing address
1110 MERIDIAN ST N, HUNTSVILLE, AL 35801-4636
(256) 428-7276
(256) 428-7259
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
AL2558
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009911665
—
AL
01
—
51517173
BCBS
AL
Enumeration date
03/19/2007
Last updated
07/08/2007
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