Hally Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

HALLY DENTAL LLC

Practice address

2600 Tayler St
Edmond, OK 73003-2134

Phone

(405) 844-6333

NPI assigned

Aug 12, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Korbin Deane Hally, DDSNPI 1154945202

Title

Dentist

Phone

(405) 844-6333

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Korbin Hally, DDS

  • General Practice Dentistry
  • Edmond, OK
  • NPI 1154945202
  NPD Authorized official
• Ina Sukut, DDS

  • Dentist
  • Edmond, OK
  • NPI 1083456727
  NPD

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1457089815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 TAYLER ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730032134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 TAYLER ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730032134",
            "telephone_number": "405-844-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "HALLY",
        "authorized_official_first_name": "KORBIN",
        "authorized_official_middle_name": "DEANE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "405-844-6333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "smile@coffeecreekfd.com",
            "affiliation": "N",
            "address_1": "2600 Tayler St",
            "city": "Edmond",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730032134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lucy Hall
• Mindy Hall
• Patricia Lynn Hall, PA-C
• Preston Hall, DO
• Sarah Grace Hall I, MSW
• Korbin Hally, DDS
• Cameron Michelle Halsell, D.O.
• Dania April Hamilton
• Tamela Hamilton, MD
• Matthew Scott Hamm, MD, MPH

• Dental Clinic/Center in Edmond, OK
• Providers in Edmond, OK by specialty
• Dental Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.