Phillip C Hall, DDS, LC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

136561 Issued in UT

Legal business name

PHILLIP C HALL, DDS, LC

Practice address

335 East Saint George Blvd
Suite 201
St George, UT 84770

Phone

(435) 634-8338

Fax

(435) 218-7039

NPI assigned

Feb 1, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Phillip Clark Hall, DDSNPI 1982643623

Title

Dentist

Phone

(435) 634-8338

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT2 enrollments

Enrollment records 2

Locations

Practitioners 3

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

• Phillip Clark Hall, DDS

  • General Practice Dentistry
  • Saint George, UT
  • NPI 1982643623
  Medicare reassignment Authorized official
• James T. Phillips, D.D.S.

  • General Practice Dentistry
  • Saint George, UT
  • NPI 1104074079
  NPD
• John M. Jennings, DDS

  • General Practice Dentistry
  • St George, UT
  • NPI 1487748109
  NPD (past)

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544572800000",
    "number": "1710226436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 EAST SAINT GEORGE BLVD",
            "address_2": "SUITE 201",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "84770",
            "telephone_number": "435-634-8338",
            "fax_number": "435-218-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 EAST SAINT GEORGE BLVD",
            "address_2": "SUITE 201",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "84770",
            "telephone_number": "435-634-8338",
            "fax_number": "435-218-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP C HALL, DDS, LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-01",
        "last_updated": "2018-12-12",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "435-634-8338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "UT",
            "license": "136561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phase II St George Inc
• April Phelps
• Dan Phelps
• Phenix Pelvic Health
• Phi Medical Equipment Inc
• Hayley Phillips, PT, DPT
• James T. Phillips, D.D.S.
• Lee Ann Marie Phillips, OTR/L
• McKenna Phillips
• Rebecca Anne Phillips, LCSW

• Customized Equipment (DME) in St George, UT
• Providers in St George, UT by specialty
• Customized Equipment (DME) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.