Nathan Hall DMD PL

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NATHAN HALL DMD PL

Practice address

4484 Legendary Dr
Suite B
Destin, FL 32541

Phone

(850) 460-2801

Fax

(850) 460-2817

NPI assigned

Aug 28, 2012

Last updated

Aug 28, 2012By 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

Dr. Nathan C Hall, DMD

Title

Owner/Dentist

Phone

(850) 460-2801

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1073861704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4484 LEGENDARY DR",
            "address_2": "SUITE B",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "32541",
            "telephone_number": "850-460-2801",
            "fax_number": "850-460-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4484 LEGENDARY DR",
            "address_2": "SUITE B",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "32541",
            "telephone_number": "850-460-2801",
            "fax_number": "850-460-2817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN HALL DMD PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "850-460-2801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaun A. Myers, PA
• William Jesse Naftel
• Naomi Morgan LMHC LLC
• Narconon Gulf Coast, Inc.
• Zachary Thomas Nash, CAA
• National Vision Inc (America's Best Contacts & Eyeglasses)
• Jonathan David Needler, PA-C
• Baleigh Elizabeth Nelson
• Rachelle Nelson, PSY.D.
• Travis Hunter Nelson, PT, DPT

• General Practice Dentistry in Destin, FL
• Providers in Destin, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.