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DR. RICHARD EVERETT HALL DDS MD PHD NPI 1871606376


NPI Information

NPI: 1871606376
Provider Name: DR. RICHARD EVERETT HALL, DDS, MD, PHD
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
3435 MAIN ST
112 SQUIRE HALL, BUILDING 32
BUFFALO, NY
ZIP 14214
Phone: (716) 829-6637
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DR. Richard Everett Hall, DDS, MD, PHD is an oral and maxillofacial surgery dentist in Buffalo, NY with 31 years of experience. The provider is an oral and maxillofacial surgery dentist specialized in 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. Richard Everett Hall, DDS, MD, PHD NPI is 1871606376. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UN OF NY, BUFFALO SCHOOL OF DENTAL MEDICINE
Graduation Year:1993

The provider's business location address is:

3435 MAIN ST
112 SQUIRE HALL, BUILDING 32
BUFFALO, NY
ZIP 14214-001
Phone: (716) 829-6637
Fax: (716) 829-3019

The NPI 1871606376 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), Power Mobility Devices.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 7/9/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery035807NEW YORKYes
2204E00000XOral & Maxillofacial Surgery197678NEW YORKX

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100840235MEDICAIDNEW YORK

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.