Provider Demographics
NPI:1700611431
Name:HALL DENTAL GROUP NAPA PC
Entity type:Organization
Organization Name:HALL DENTAL GROUP NAPA PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AJA
Authorized Official - Middle Name:HWA
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:707-255-5100
Mailing Address - Street 1:2025 REDWOOD RD STE 3
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-3278
Mailing Address - Country:US
Mailing Address - Phone:707-255-5100
Mailing Address - Fax:707-266-1860
Practice Address - Street 1:2025 REDWOOD RD STE 3
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-3278
Practice Address - Country:US
Practice Address - Phone:707-255-5100
Practice Address - Fax:707-266-1860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-03
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental