Individual
DR. JOHN CHRISTOPHER HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
4944 SKYVIEW CT, TRAVERSE CITY, MI 49684-7173
(231) 946-2910
(231) 948-9114
Mailing address
4944 SKYVIEW CT, TRAVERSE CITY, MI 49684-7173
(319) 462-9102
(231) 946-9114
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2901016718
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901016718
DENTAL LICENSE
MI
01
—
383418411
TAX ID
—
Enumeration date
01/23/2006
Last updated
04/10/2024
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