DR. BRENDA JEAN HALL DDS MD NPI 1942478755

NPI Information

  • NPI: 1942478755
  • Provider Name: DR. BRENDA JEAN HALL, DDS, MD
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • Address: 1463 KLONDIKE RD SW
    SUITE C
    CONYERS, GA
    ZIP 30094
  • Phone: (770) 483-9692

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NPI Details

DR. Brenda Jean Hall, DDS, MD is an oral and maxillofacial surgery dentist in Conyers, GA. 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. Brenda Jean Hall, DDS, MD NPI is 1942478755. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1463 KLONDIKE RD SW
SUITE C
CONYERS, GA
ZIP 30094-127
Phone: (770) 483-9692

The enumeration date for this NPI number is 2/14/2008 and was last updated on 10/21/2010.

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
11223S0112XDentistOral and Maxillofacial Surgery5654OKLAHOMANo
21223S0112XDentistOral and Maxillofacial SurgeryDN013820GEORGIAYes

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: 11/21/2025

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