Wanda Hall, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401007587 Issued in VA

Practice address

2803 McRae Rd
North Chesterfield, VA 23235-3000

Phone

(804) 320-2496

NPI assigned

Sep 12, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1043768781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 MCRAE RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232353000",
            "telephone_number": "804-320-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 MCRAE RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232353000",
            "telephone_number": "804-320-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "WANDA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-12",
        "last_updated": "2024-11-15",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401007587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Richmond",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Richmond",
            "address_1": "2803 McRae Rd",
            "city": "North Chesterfield",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232353000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mae Haddock
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• Samantha Jane Haling, LPC
• David Hall
• Jalisa Hall, LMHP-S
• Erikka Bailey Hallback
• Caitlin Renee Halpin, APRN
• Alee Johnson Halsey, OTR/L
• Anita Ham
• Katherine Hambrick

• Dentist in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.