TIMOTHY MICHAEL HALL


Address: 175 Park St, Lebanon, OR 97355-4225
Phone: 5417069452

TIMOTHY MICHAEL HALL (NPI# 1508240235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508240235
Entity Type Individual
Full Name TIMOTHY MICHAEL HALL
Credential DDS
Practice Address 175 Park St
Lebanon
OR 97355-4225
Practice Telephone 5417069452
Mailing Telephone 5417069452
Enumeration Date 2015-07-13
Last Update Date 2015-07-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
D10273 OR Dental Providers

Other Providers TIMOTHY HALL

NPI Name Taxonomy Address Enumeration
1376142026 Timothy Michael Hall Homemaker 15347 Wheeler Rd, Lagrange, OH 44050-9707 2020-10-23
1639553407 Timothy Hall Marriage & Family Therapist 120 Estaban Dr, Camarillo, CA 93010-1611 2015-07-12
1861653339 Timothy O Hall Specialist 630 Southpointe Ct Ste 106, Colorado Springs, CO 80906-3800 2008-06-18
1710185368 Timothy Shawn Hall Counselor 4643 Highway 899, Pippa Passes, KY 41844-9033 2007-07-05
1508928136 Timothy P Hall Occupational Therapist 1216 W Benson Ave, Ridgecrest, CA 93555-4708 2006-12-13
1043381130 Timothy Morris Hall Dentist 147 North St, Jacksboro, TN 37757-2109 2006-11-13
1700991239 Timothy S Hall Surgery 2601 Ocean Parkway, Coney Island Hospital, Brooklyn, NY 11235 2006-08-21
1982656435 Timothy Lee Hall Occupational Therapist 9480 E M 21, Ovid Healthcare Center, Ovid, MI 48866-9569 2006-05-16
1275539660 Timothy R Hall Pediatrics 7554 15th Ave Nw, Ballard Pediatric Clinic, Seattle, WA 98117 2005-06-22
1093286320 Timothy Hall Counselor 275 Eastland Rd, Berea, OH 44017-2005 2018-12-16

Office Location

Street Address 175 PARK ST
City LEBANON
State OR
Zip Code 97355-4225

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518215748 Tristan James Parry Dentist 175 Park St, Lebanon, OR 97355-4225 2012-08-20
1326311903 Anna Marie Lee Messenger Dentist 175 Park St, Lebanon, OR 97355-4225 2012-02-13
1821081704 Cynthia F. Marshall Dentist 175 Park St, Lebanon, OR 97355-4225 2005-08-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710516182 Patricia Hoangphuong Nguyen Student in an Organized Health Care Education/Training Program Western University of Health Sciences Comp-northwest, 200 Mullins Drive, Lebanon, OR 97355 2020-04-07
1528609740 Liana Beaty Technician 31231 Mccraven Ln, Lebanon, OR 97355 2019-09-30
1710465323 Jackie Welter Health Educator 35 Mullins Drvie Ste 3, Lebanon, OR 97355 2018-08-06
1518415371 Kathleen Hillary Registered Nurse 525 North Santiam Highway, Lebanon, OR 97355 2016-09-21
1861849283 Emily Marshall Student in an Organized Health Care Education/Training Program 200 Mullins Drive, Lebanon, OR 97355 2016-05-16
1033565551 Celeste Maxine Croy-baker Student in an Organized Health Care Education/Training Program 200 Mullins Dr., Lebanon, OR 97355 2016-05-13
1770956963 Jeff Parsons Occupational Therapist 600 Ne 5th St, Oregon Veterans Home, Lebanon, OR 97355 2015-11-10
1003289588 Hong Ngoc Nguyen Pharmacist 675 N Fifth Street, Lebanon, OR 97355 2015-11-05
1801278049 Darrel A Decker Skilled Nursing Facility 350 8th Street, Lebanon, OR 97355 2015-06-24
1679985113 State of Oregon Department of Veterans' Affairs Skilled Nursing Facility 600 N. 5th Street, Lebanon, OR 97355 2014-06-02
Find all providers in zip 97355

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902414436 University Smiles LLC Dentist 229 W Saint Louis St # Sr, Lebanon, IL 62254-1515 2020-07-21
1962020693 Rachel Hancock Dentist 367 Nh 120, Lebanon, NH 03766-1430 2020-07-09
1386295434 Zarna Patel Dentist 1451 Quentin Rd Ste 300, Lebanon, PA 17042-7562 2019-09-20
1932639044 Carson James Stroyan Dentist 11 Eldridge St Ste 300, Lebanon, NH 03766-1022 2017-06-13
1083142483 Horton Scott Li Dentist 604 S Cumberland St Ste 200, Lebanon, TN 37087-4794 2017-05-30
1548712151 Patel Dental Group of Upper Valley Dentist 11 Eldridge St, Suite #300, Lebanon, NH 03766-1022 2016-10-30
1235584913 Temicka Terrell Dentist 1037 W Main St Ste E, Lebanon, TN 37087-3356 2016-04-29
1215340880 Eriks Dental, PC Dentist 1338 S Lebanon St Ste 100, Lebanon, IN 46052-2792 2014-06-11
1497043178 Jacob Eldon Frazier Dentist 110 Wakanda Dr, Lebanon, IL 62254-1393 2011-07-15
1740592633 John David Hirce Dentist 367 Route 120 Unit D, Lebanon, NH 03766-1430 2010-07-08
Find all providers in LEBANON

Competitor

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City LEBANON
Zip Code 97355

Improve Information

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Dataset Information

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.

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