Brian D. Hall, DDS, PA

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

12333 Issued in MD

Legal business name

BRIAN D. HALL, DDS, PA

Practice address

1090 W Patrick St
Suite D
Frederick, MD 21703-3967

Phone

(301) 696-2000

Fax

(301) 696-0099

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Brian David Hall, DDS

Title

President / Endodontist

Phone

(301) 696-2000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1255417028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 W PATRICK ST",
            "address_2": "SUITE D",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217033967",
            "telephone_number": "301-696-2000",
            "fax_number": "301-696-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 W PATRICK ST",
            "address_2": "SUITE D",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217033967",
            "telephone_number": "301-696-2000",
            "fax_number": "301-696-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN D. HALL, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT / ENDODONTIST",
        "authorized_official_telephone_number": "301-696-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MD",
            "license": "12333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endodontics in Frederick, MD
• Providers in Frederick, MD by specialty
• Endodontics in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.