NPIMap

Organization Active NPI

Hall Family Dental, PLLC

  • Dental Clinic/Center
  • Benton, KY
National Provider Identifier
1487224275
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HALL FAMILY DENTAL, PLLC
Practice address
78 Vine St
Benton, KY 42025-7409
Phone
(859) 321-2507
NPI assigned
Jun 25, 2021
Last updated
Jun 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Authorized official

Name
Dr. Dustin Jordan Hall, DMDNPI 1730340837
Title
Owner
Phone
(859) 321-2507

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

78 Vine St
Benton, KY 42025-7409

Mailing address

78 Vine St
Benton, KY 42025-7409
Phone (859) 321-2507

National Provider Directory

National Provider Directory

Locations

78 Vine St
Benton, KY 42025
Phone (859) 321-2507

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1487224275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 VINE ST",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420257409",
            "telephone_number": "859-321-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 VINE ST",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420257409",
            "telephone_number": "859-321-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALL FAMILY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-321-2507",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.