Individual
DR. SAMUEL ROBERT HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
401 S GLOSTER ST, SUITE 101, TUPELO, MS 38801-5540
(662) 269-4542
Mailing address
401 S GLOSTER ST, SUITE 101, TUPELO, MS 38801-5540
(662) 269-4542
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3645-12
MS
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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