Organization Active NPI

William J Hale

  • General Practice Dentistry
  • Palatka, FL
National Provider Identifier
1891822656
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WILLIAM J HALE
Practice address
3314 Crill Ave
Suite B
Palatka, FL 32177-4149
Phone
(386) 312-0305
Fax
(904) 339-9424
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William J Hale
Title
Dentist
Phone
(386) 328-0406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3314 Crill Ave
Suite B
Palatka, FL 32177-4149

Mailing address

3314 Crill Ave
Suite B
Palatka, FL 32177-4149
Phone (386) 312-0305

National Provider Directory

National Provider Directory

Locations

3314 Crill Ave
Ste B
Palatka, FL 32177
Phone (386) 312-0305

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891822656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3314 CRILL AVE",
            "address_2": "SUITE B",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321774149",
            "telephone_number": "386-312-0305",
            "fax_number": "904-339-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3314 CRILL AVE",
            "address_2": "SUITE B",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321774149",
            "telephone_number": "386-312-0305",
            "fax_number": "904-339-9424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J HALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "386-328-0406",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.