Individual provider · Type 1 NPI
Thomas Douglas Hall, DMD
Pediatric Dentistry · Bloomington, IL
NPI number
1891886305
Active
Practice location
211 S Prospect Rd
Bloomington, IL 61704-4910
Fax (309) 663-7131
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | None listed |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2 other providers at this address
Other pediatric dentistry providers in Bloomington
About NPI 1891886305
Thomas Douglas Hall, DMD's National Provider Identifier is 1891886305, issued on Sep 28, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Bloomington, IL. The record was last updated on Jul 8, 2007.