DR. ROBERT GLENN HALE DDS NPI 1366404410

NPI Information

NPI: 1366404410
Provider Name: DR. ROBERT GLENN HALE, DDS
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
6325 TOPANGA CANYON BLVD
STE 435
WOODLAND HILLS, CA
ZIP 91367
Phone: (818) 999-0900
Get Directions

DR. Robert Glenn Hale, DDS is an oral and maxillofacial surgery dentist in Woodland Hills, CA. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Robert Glenn Hale, DDS NPI is 1366404410. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6325 TOPANGA CANYON BLVD
STE 435
WOODLAND HILLS, CA
ZIP 91367-046
Phone: (818) 999-0900
Fax: (818) 999-6927

The NPI 1366404410 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 4/4/2006 and was last updated on 11/21/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	9431	GEORGIA	No
2	1223S0112X	Dentist	Oral and Maxillofacial Surgery	29601	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	B29601-01	OTHER	CALIFORNIA	DENTI-CAL
2	U28248	MEDICARE UPIN	CALIFORNIA
3	D29601	OTHER	CALIFORNIA	MEDICARE PROVIDER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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