DR. BRUCE KENNETH HALL (NPI# 1093798712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093798712 |
| Entity Type | Individual |
| Full Name | DR. BRUCE KENNETH HALL |
| Credential | DMD MAGD |
| Practice Address |
1 Pinckney Blvd Naval Hospital Beaufort, Attn:prof Affairs Coordinator Beaufort SC 29902-6122 |
| Mailing Address |
Po Box 6216a Naval Hospital Beaufort, Attn:prof Affairs Coordinator Beaufort SC 29902-6148 |
| Practice Telephone | 8432285577 |
| Practice Fax Number | 8432285196 |
| Mailing Telephone | 8432285577 |
| Mailing Fax Number | 8432285196 |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 122300000X | Dentist | 0401005478 | VA | Dental Providers |
| X | 122300000X | Dentist | 4944 | KY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841315215 | Bruce Alan Hall | Dentist | 931 Arlington St, Ste 3, Ada, OK 74820-4025 | 2007-03-21 |
| 1760561534 | Bruce Vernon Hall | Counselor | 3703 Cypress St, West Monroe, LA 71291-7434 | 2006-11-03 |
| 1780646190 | Bruce P Hall | Radiology | 5 Riverhurst Rd, Apt. 716, Billerica, MA 01821-3412 | 2006-04-03 |
| 1730311895 | Bruce H Hall | Student in an Organized Health Care Education/Training Program | 1600 E Olive St, Sound Mental Health, Seattle, WA 98122-2735 | 2009-08-21 |
| 1255348736 | Bruce Hall | Radiology | 2222 Philadelphia Dr, Dayton, OH 45406-1813 | 2006-08-01 |
| 1376560839 | Bruce L Hall | Surgery | 4921 Parkview Pl Ste 5b, Ste 5b, Saint Louis, MO 63110-1032 | 2006-07-17 |
| 1205872520 | Bruce L Hall | Chiropractor | 25078 Peachland Ave, Newhall, CA 91321-2533 | 2006-06-22 |
| 1104803493 | Bruce A Hall | Emergency Medicine | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7881 | 2005-12-28 |
| 1720085251 | Bruce Hall | Internal Medicine | 5400 W Hillsdale Ave, Visalia, CA 93291-8222 | 2005-06-30 |
| Street Address |
1 PINCKNEY BLVD NAVAL HOSPITAL BEAUFORT, ATTN:PROF AFFAIRS COORDINATOR |
| City | BEAUFORT |
| State | SC |
| Zip Code | 29902-6122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457352643 | Terry Lynn Elliott | Family Medicine | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2005-08-10 |
| 1366042327 | Selena Damiano | Physician Assistant | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2020-10-29 |
| 1023620150 | Duy Thien Vinh Truong | Dentist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2020-08-19 |
| 1366060071 | Christopher Taylor Davis | Dentist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2020-07-09 |
| 1942828884 | Abraham Kim | Dentist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2020-07-07 |
| 1205468907 | Maurice Jones | Nurse Practitioner | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2020-02-10 |
| 1629610134 | Alicia Lynn Weaver | Dietitian, Registered | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2019-10-16 |
| 1710529995 | Jules C Martowski | Psychologist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2019-10-09 |
| 1053968784 | John Claiborne Millar | Dentist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2019-08-19 |
| 1043866049 | Celeste Roberts | Dentist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2019-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063024578 | Beaufort County Memorial Hospital | Family Medicine | Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 | 2020-08-18 |
| 1750992475 | Fayth Polite | Social Worker | 2210 Salem Drive East, Beaufort, SC 29902 | 2020-08-14 |
| 1417509530 | Andrew Grant Miner | Dentist | Naval Hospital Beaufort, 1 Pinckney Blvd., Fpo, AA 29902 | 2019-07-09 |
| 1376029777 | Edward Dela Fuente | Counselor | Coastal Empire Mental Health Center, 1050 Ribaut Road, Beaufort, SC 29902 | 2018-07-18 |
| 1114440419 | Kristin Webb | Registered Nurse | 607 Wilmington Street, Beaufort, SC 29902 | 2017-07-19 |
| 1326582081 | Annemarie Gierling Gault | Nurse Practitioner | Beaufort Memorial Medical Oncology Infusion Center, 989 Ribaut Rd, Ste 103, Beaufort, SC 29902 | 2016-12-14 |
| 1114396579 | Jacquelyn Faith Proulx | Dentist | 1 Pickney Blvd., Naval Hospital Beaufort, Beaufort, SC 29902 | 2015-09-16 |
| 1386028413 | Howard Family Dental - Beaufort, Pllc | Dentist | 35 Robert Smalls Pkwy, Beaufort, SC 29902 | 2015-07-18 |
| 1598018103 | Lisa Marie Johnson | Occupational Therapist | 9555 Ribaut Road, Beaufort Memorial Hospital, Beaufort, SC 29902 | 2012-10-19 |
| 1134497860 | Jeremy Michael Simmons | Pharmacist | 2127 Boundary Street, Suite 19, Beaufort, SC 29902 | 2011-12-08 |
| Find all providers in zip 29902 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134735129 | Kidz Planet Pediatric Dentistry - Sda Pa | Dentist | 960 Ribaut Rd Ste 3, Beaufort, SC 29902-5434 | 2020-09-16 |
| 1720598659 | Samuel Eric Pope | Dentist | 51 Saluda Way, Beaufort, SC 29906-6006 | 2017-10-05 |
| 1679029904 | Evan Lee Rurak | Dentist | 337 Savannah Highway, Unit 511, Beaufort, SC 29906-6738 | 2016-08-28 |
| 1386028413 | Howard Family Dental - Beaufort, Pllc | Dentist | 35 Robert Smalls Pkwy, Beaufort, SC 29902 | 2015-07-18 |
| 1174937270 | Paul Stevens | Dentist | 422 Ashton Pointe Blvd, Beaufort, SC 29906-6016 | 2014-06-17 |
| 1285069856 | Smiles By Wyles, LLC | Dentist | 27 A Kemmerlin Lane, Beaufort, SC 29907 | 2013-09-13 |
| 1568718146 | Tyler Russell Johansen | Dentist | 674 Blvd De France, Beaufort, SC 29905 | 2012-08-01 |
| 1386892628 | Christopher George Sellers | Dentist | 1 Pinckney Blvd Box 6216a, Naval Hospital Beaufort, Beaufort, SC 29902-6148 | 2008-08-28 |
| 1528106705 | Kyle J Farnsworth | Dentist | 102 Sea Island Pkwy, Suite J, Beaufort, SC 29907-1563 | 2007-02-01 |
| 1831247451 | Gerald Riddle Cummings | Dentist | 109 Sea Island Pkwy, Beaufort, SC 29907-1500 | 2007-01-08 |
| Find all providers in BEAUFORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.