JOHN LEGLAGEN HALL DDS NPI 1720187750

NPI Information

NPI: 1720187750
Provider Name: JOHN LEGLAGEN HALL, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

PECOS Registration: Yes

Address:
3359 HARTLEY DRIVE
ADRIAN, MI
ZIP 49221
Phone: (517) 862-1590
Get Directions

John Leglagen Hall, DDS is a general practice dentist in Adrian, MI. The provider is 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. John Leglagen Hall, DDS NPI is 1720187750. 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:

3359 HARTLEY DRIVE
ADRIAN, MI
ZIP 49221
Phone: (517) 862-1590

The NPI 1720187750 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 9/22/2006 and was last updated on 1/7/2019.

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	1223D0001X	Dentist	Dental Public Health	2901016896	MICHIGAN	No
2	1223G0001X	Dentist	General Practice	12011912A	INDIANA	No
3	1223G0001X	Dentist	General Practice	019.023197	ILLINOIS	No
4	1223G0001X	Dentist	General Practice	30.020619	OHIO	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
1	0317521	MEDICAID	OHIO
2	201134060	MEDICAID	INDIANA
3	420322612	MEDICAID	MICHIGAN

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: 5/5/2024

NPI Synchronization or Removal

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