Domenick Hall Dmd, PLLC
Dentist, General Practice in Adrian, MI. Organization (NPI-2).
NPI number1962396432
StatusActive
Last updated in NPPESAug 19, 2025
Details
- NPI
- 1962396432
- Entity type
- Organization (NPI-2)
- Legal business name
- Domenick Hall Dmd, PLLC
- Organization subpart
- No
- Enumeration date
- Jun 7, 2025
- Certification date
- Aug 19, 2025
- Last updated
- Aug 19, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
3142 N Adrian HwyAdrian, MI 49221-1179
Phone 517-263-6100
Mailing address
3142 N Adrian HwyAdrian, MI 49221-1179
Authorized official
Domenick Hall
General Dentist
5172636100
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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