DR. GARY WAYNE HALL (NPI# 1336257187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336257187 |
| Entity Type | Individual |
| Full Name | DR. GARY WAYNE HALL |
| Credential | D.D.S. |
| Practice Address |
908 Palm Blvd S Niceville FL 32578-2603 |
| Practice Telephone | 8507291223 |
| Practice Fax Number | 8506786086 |
| Mailing Telephone | 8507291223 |
| Mailing Fax Number | 8506786086 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN0012157 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED CONCORDIA | 809857 | 01 | |
| FL | BLUE CROSS OF FLORIDA | 64709 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184876500 | Gary D Hall | Specialist | 14340 Metcalf Ave, Overland Park, KS 66223-2987 | 2008-10-16 |
| 1174551584 | Gary Eugene Hall | Pharmacist | Portland Va Medical Center, 3710 Sw U.S. Veterans Hospital Rd, Portland, OR 97239 | 2006-06-28 |
| 1164064028 | Gary D Hall | Adult Companion | 3468 E Sahara Ave Ste 165, Las Vegas, NV 89104-4827 | 2019-10-11 |
| 1114240512 | Gary Hall | Pharmacist | 1101 Veterans Dr, Pharmacy Services 119, Lexington, KY 40502-2235 | 2010-03-12 |
| 1063601490 | Gary Eugene Hall | Dentist | 42801 Schoolcraft Rd, Plymouth, MI 48170 | 2007-10-22 |
| 1437255387 | Gary Lee Hall | Dentist | 2029 Valleygate Dr, Suite 201, Fayetteville, NC 28304-3688 | 2006-09-16 |
| 1942211495 | Gary W Hall | Chiropractor | 200 Auto Center Ct, Modesto, CA 95356-1573 | 2006-08-10 |
| 1558378471 | Gary Marvin Hall | Surgery | 12709 Toepperwein Rd, Ste 302, San Antonio, TX 78233-3249 | 2006-08-02 |
| 1811988686 | Gary L Hall | Physical Therapist | 1061 Harmon Ave, Ste 1d03, Fort Stewart, GA 31314-5604 | 2005-11-02 |
| Street Address |
908 PALM BLVD S |
| City | NICEVILLE |
| State | FL |
| Zip Code | 32578-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730297656 | Niceville Family Dental Center, P.l. | Dentist | 908 Palm Blvd S, Niceville, FL 32578-2603 | 2006-08-29 |
| 1326508060 | Harper Family Dentisty, Pllc | Clinic/Center | 908 Palm Blvd S, Niceville, FL 32578-2603 | 2019-03-20 |
| 1912427253 | Steven Tyler Baker | Dentist | 908 Palm Blvd S, Niceville, FL 32578-2603 | 2017-06-27 |
| 1932456084 | Thomas Brandon Grant | Dentist | 908 Palm Blvd S, Niceville, FL 32578-2603 | 2012-08-08 |
| 1912015793 | Nathaniel Carson Hall | Dentist | 908 Palm Blvd S, Niceville, FL 32578-2603 | 2006-08-29 |
| 1609984467 | Larry James Casey | Dentist | 908 Palm Blvd S, Niceville, FL 32578-2603 | 2006-08-29 |
| 1639287477 | Ralf Peter Zapata | Dentist | 908 Palm Blvd S, Niceville, FL 32578-2603 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376028563 | Southern Breeze Healthcare | Family Medicine | 4556 E Hwy 20, Suite 105, Niceville, FL 32578 | 2018-10-03 |
| 1497252860 | Molly Marie Everitt | Physician Assistant | 2190 Fl-85 N, Niceville, FL 32578 | 2018-04-11 |
| 1972009314 | Alexis Aust | Student in an Organized Health Care Education/Training Program | 104 Arrowhead Way, Niceville, FL 32578 | 2018-04-04 |
| 1518488949 | Michelle Sasala | Nurse Practitioner | 4550 E Highway 20, Niceville, FL 32578 | 2017-07-06 |
| 1003336199 | Comfortable Care Denta Health Professionals, Pa | Dentist | 1386 E John Sims Parkway, Niceville, FL 32578 | 2017-06-21 |
| 1306223888 | Emerald Coast Periodontics | Dentist | 719 Bayshore Drive, Niceville, FL 32578 | 2015-05-04 |
| 1538586136 | Pamela Ottesen Dmd LLC | Dentist | 1536 John Sims Pkwy, Niceville, FL 32578 | 2014-03-21 |
| 1417204066 | Mary Jo Stiles | Hearing Instrument Specialist | 4400 Hwy, 20 East, Suite # 211, Niceville, FL 32578 | 2012-08-13 |
| 1093086563 | Pat T. Tidwell Md Pa | Clinic/Center | 4554 Highway 20 East, Niceville, FL 32578 | 2012-01-16 |
| 1952683260 | Gentle Birth Options, LLC | Nurse Practitioner | 296 Bayshore Drive, Niceville, FL 32578 | 2011-09-13 |
| Find all providers in zip 32578 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972127751 | Nancy Elizabeth Hughes | Dentist | 4579 E Highway 20 Ste 210, Niceville, FL 32578-9810 | 2020-06-08 |
| 1003336199 | Comfortable Care Denta Health Professionals, Pa | Dentist | 1386 E John Sims Parkway, Niceville, FL 32578 | 2017-06-21 |
| 1699205880 | Jonathan Casiano | Dentist | 1156 John Sims Pkwy E, Niceville, FL 32578-2204 | 2017-06-19 |
| 1104294669 | Bluewater Bay Dental, Pa | Dentist | 4400 E Highway 20 Ste 101, Niceville, FL 32578-9735 | 2015-09-14 |
| 1588893424 | Carissa Michelle Maguire | Dentist | 614 Tulip Tree Way, Niceville, FL 32578-3422 | 2009-07-14 |
| 1730381344 | Gulf Coast Dental LLC | Dentist | 4566 Hwy 20e, Suite 108, Niceville, FL 32578 | 2007-06-05 |
| 1508067927 | Steven G Robinette | Dentist | 4566 Hwy 20 E, Suite 108, Niceville, FL 32578 | 2007-05-31 |
| 1710023874 | E. Michael Duckworth | Dentist | 4566 E Highway 20 Ste 108, Niceville, FL 32578-8839 | 2007-01-29 |
| 1730297656 | Niceville Family Dental Center, P.l. | Dentist | 908 Palm Blvd S, Niceville, FL 32578-2603 | 2006-08-29 |
| 1639138498 | Andy S. Holtery | Dentist | 136 Partin Dr N, Niceville, FL 32578-2054 | 2006-03-21 |
| Find all providers in NICEVILLE | ||||
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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.