William Hall, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019.036151 Issued in IL

Practice address

1200 W Jackson St
Macomb, IL 61455-1194

Phone

(309) 836-6688

NPI assigned

Jun 17, 2025

Sex

Male

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lifetime Dental Care of Illinois, PC

  • General Practice Dentistry
  • Macomb, IL
  • NPI 1396967741
  NPD (past)

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1720974686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W JACKSON ST",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614551194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W JACKSON ST",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614551194",
            "telephone_number": "309-836-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "WILLIAM",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.036151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grand Prairie Assisted Living
• David J Greathouse, D.O.
• Jennifer Greer, BSN. RN
• Terri Marie Guilford, PSYD
• Cade Guthrie
• Melane Hamilton-Smith, LPC
• Judy Hammond, M.S., CCC-A
• Sharie Harden, CNM
• Jasmine Hardy, PSY. D
• Heather Harrison, M.D.

• Dentist in Macomb, IL
• Providers in Macomb, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.