A. Lavar Hall D.D.S., Inc

Primary specialty

DentistTaxonomy code 122300000X

License

14762 Issued in OH

Legal business name

A. LAVAR HALL D.D.S., INC

Practice address

526 Jefferson St
Greenfield, OH 45123-1356

Phone

(937) 981-3184

NPI assigned

Aug 5, 2008

Last updated

Aug 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Antone Lavar Hall, D.D.S.NPI 1750476008

Title

President

Phone

(937) 981-3184

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Antone Lavar Hall, D.D.S.

  • General Practice Dentistry
  • Greenfield, OH
  • NPI 1750476008
  NPD (past) Authorized official

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1053577460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 JEFFERSON ST",
            "city": "GREENFIELD",
            "state": "OH",
            "postal_code": "451231356",
            "telephone_number": "937-981-3184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 JEFFERSON ST",
            "city": "GREENFIELD",
            "state": "OH",
            "postal_code": "451231356",
            "telephone_number": "937-981-3184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A. LAVAR HALL D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-05",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "ANTONE",
        "authorized_official_middle_name": "LAVAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-981-3184",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "14762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0368678",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lawren Alge
• Derek Ames

• Dentist in Greenfield, OH
• Providers in Greenfield, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.