Dr. Jason F Hall
Orthodontists
12776 S West Bay Shore Dr
Traverse City
, Michigan 49684-5451
Dr. Jason F Hall
Orthodontists
12776 S West Bay Shore Dr
Traverse City
, Michigan 49684-5451
(231) 946-6026
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Jason F Hall
- 12776 S West Bay Shore Dr
- Traverse City, MI
- Zip : 49684-5451
- Fax : (231) 946-6026
- Phone : (231) 946-0070
Second Address
- Dr. Jason F Hall
- 12776 S West Bay Shore Dr
- Traverse City, MI
- Zip : 49684-5451
- Fax : (231) 946-6026
- Phone : (231) 946-0070
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 29-01-018866 | MI |
National Provider Identifier
| NPI | 1043307788 |
|---|---|
| Provider Name | Dr. Jason F Hall |
| First Address | Traverse City, MI 49684-5451 |
| Second Address | Traverse City, MI 49684-5451 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/10/2006 |
| Last Update Date | 15/10/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4852395 | (05) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.