D H Halliwell Jr DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

180078 Issued in MS

Legal business name

D H HALLIWELL JR DDS PA

Practice address

314 South 25TH Avenue
Hattiesburg, MS 39401-7399

Phone

(601) 545-8615

Fax

(601) 545-8616

NPI assigned

May 1, 2008

Last updated

May 1, 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

Dr. David H Halliwell III, DDSNPI 1487850277

Title

President Owner

Phone

(601) 545-8615

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.

• David H Halliwell III, DDS DENTIST

  • General Practice Dentistry
  • Hattiesburg, MS
  • NPI 1487850277
  Authorized official Same address or phone

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1093981987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 SOUTH 25TH AVENUE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017399",
            "telephone_number": "601-545-8615",
            "fax_number": "601-545-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 SOUTH 25TH AVENUE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017399",
            "telephone_number": "601-545-8615",
            "fax_number": "601-545-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D H HALLIWELL JR DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "HALLIWELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "601-545-8615",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "180078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "735590",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lisa Dabbs, DNP, PMHNP, ANP
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• General Practice Dentistry in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.