Dr. Kenneth Bradley Hall, DMD
Dentist in Watkinsville, GA. Individual provider (NPI-1).
NPI number1053358366
StatusActive
Last updated in NPPESDec 13, 2016
Details
- NPI
- 1053358366
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kenneth Bradley Hall
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 2, 2006
- Last updated
- Dec 13, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DN012753 | GA | Yes |
Practice location
1360 Caduceus WayBldg 900 Ste 101
Watkinsville, GA 30677-7300
Phone 706-543-3629 · Fax 706-543-5107
Mailing address
1360 Caduceus WayBldg 900 Ste 101
Watkinsville, GA 30677-7300
Phone 706-543-3629 · Fax 706-543-5107
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All 11 Dentist providers in Watkinsville · All 958 providers in Watkinsville
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