Alec Chandler Hall, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN016042 Issued in GA

Practice address

1180 Resurgence Dr Ste 300
Watkinsville, GA 30677-7211

Phone

(706) 549-8737

NPI assigned

Jun 10, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1487279055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 RESURGENCE DR STE 300",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777211",
            "telephone_number": "706-549-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 RESURGENCE DR STE 300",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777211",
            "telephone_number": "706-549-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "ALEC",
        "middle_name": "CHANDLER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN016042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Guzman, M.ED
• Morgan Skinner Guzman, SLP
• Melissa M Halbach, MD
• Taylor Halberg, AUD
• Lexus Haley, RBT
• Cassidy Hall, RBT
• Kenneth Bradley Hall, DMD
• Bruce L Hammonds, O.D.
• Joseph David Hancock, PHARMD
• Ashley Hardeman, APRN

• Dentist in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.