DR. KRYSTAL DAWN HALL (NPI# 1588077150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588077150 |
| Entity Type | Individual |
| Full Name | DR. KRYSTAL DAWN HALL |
| Credential | DDS |
| Practice Address |
21026 Highlander Ridge Dr Edmond OK 73012-0902 |
| Mailing Address |
1701 Rogers Rd Apt. 405 Fort Worth TX 76107 |
| Practice Telephone | 4054888623 |
| Mailing Telephone | 4054888623 |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2017-07-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6597 | OK | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063762243 | Krystal Hall | Counselor | 2245 Stantonsburg Rd, Suite O, Greenville, NC 27834 | 2012-09-14 |
| 1902831464 | Krystal S. Hall | Nurse Practitioner | 6984 Pine Forest Rd, Pensacola, FL 32526-8908 | 2006-07-12 |
| Street Address |
21026 HIGHLANDER RIDGE DR |
| City | EDMOND |
| State | OK |
| Zip Code | 73012-0902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962013912 | Ashley Lambert | Counselor | 19501 N Pennsylvia, Apt 210, Edmond, OK 73012 | 2020-08-13 |
| 1699316083 | First Rate Eye Care Pllc | Optometrist | 1140 Nw 192nd St., Suite A, Edmond, OK 73012 | 2019-10-07 |
| 1659869881 | Brent Byers | Registered Nurse | 3040 Nw 179th Ct, Edmond, OK 73012 | 2018-04-24 |
| 1386173672 | John A Hale | Respiratory Therapist, Certified | 19100 Meadows Crossing Drive, Edmond, OK 73012 | 2017-06-08 |
| 1740715598 | Ryan Hays | Counselor | 620 Nw 178 St., Apt. 4c, Edmond, OK 73012 | 2017-04-28 |
| 1245691336 | Jessica Collins | Behavioral Analyst | 18217 Sandhurst Ct, Edmond, OK 73012 | 2016-03-16 |
| 1538545801 | Cynthia Ann Thompson | Case Manager/Care Coordinator | 1732 Kelly, Edmond, OK 73012 | 2015-08-10 |
| 1538564224 | Function Physical Therapy, LLC | Physical Therapist | 16502 N Pennsylvania Ave, Suite C, Edmond, OK 73012 | 2014-10-24 |
| 1003227414 | Deer Creek Family Healthcare and Wellness Clinic LLC | Clinic/Center | 19401 N. Portland, Edmond, OK 73012 | 2014-05-20 |
| 1316383649 | Ralphs Family Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1101 Nw178th Street, Suite A, Edmond, OK 73012 | 2013-05-14 |
| Find all providers in zip 73012 | ||||
| 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 |
|---|---|---|---|---|
| 1154945202 | Korbin Hally | Dentist | 2600 Tayler Street, Edmond, OK 73003 | 2020-06-04 |
| 1730748773 | Tri Nguyen | Dentist | 2325 Nw 153rd St, Edmond, OK 73013-9229 | 2019-06-12 |
| 1497247860 | Preston Eugene Harraman | Dentist | 775 W Covell Rd Ste 160, Edmond, OK 73003-2302 | 2018-06-01 |
| 1346698842 | Jason Wallace | Dentist | 1400 W Covell Rd, Edmond, OK 73003-3504 | 2016-05-25 |
| 1013311265 | Dental Professionals of Ok, PC | Dentist | 3152 S Broadway, Edmond, OK 73013-4056 | 2014-10-17 |
| 1033519012 | Roger Potts Dental Group, PC | Dentist | 1333 N Santa Fe Ave Ste 105, Edmond, OK 73003-3677 | 2014-08-27 |
| 1497023196 | Tapan Koticha | Dentist | 16430 Muirfield Place, Edmond, OK 73013-9161 | 2011-12-08 |
| 1922394261 | William Samuel Ward | Dentist | 1354 E 15th St, Edmond, OK 73013-5029 | 2011-06-24 |
| 1083904833 | Dawn Annette Hisey | Dentist | 1140 Brookside Ct, Edmond, OK 73025-9748 | 2011-04-13 |
| 1740417328 | Yong Ki Hong | Dentist | 18001 N Western Ave Ste 106, Edmond, OK 73012 | 2009-06-22 |
| Find all providers in EDMOND | ||||
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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.