Dr. Kenneth Bradley Hall
DMD | Dentist
1360 Caduceus Way, Bldg 900 Ste 101, Watkinsville
Georgia, 30677-7300
706-543-3629 706-543-5107
Maps & DirectionsDr. Kenneth Bradley Hall is a Watkinsville, Georgia based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Kenneth Bradley Hall is
DN012753 for Dentistry in Georgia. His current practice location is
1360 Caduceus Way, Bldg 900 Ste 101, Watkinsville. Patients can reach him at
706-543-3629.
Dr. Kenneth Bradley Hall is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Kenneth Bradley Hall speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Kenneth Bradley Hall |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DMD |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1360 Caduceus Way, Bldg 900 Ste 101, Watkinsville,
Georgia, 30677-7300 |
| Phone: | 706-543-3629 |
| Fax: | 706-543-5107 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1053358366 |
| NPI Enumeration Date: | 02 Jun, 2006 |
| NPI Last Update On: | 13 Dec, 2016 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kenneth Bradley Hall are as mentioned below.
| License Number | Specialization | State | Status | |
| DN012753 | Dentistry | Georgia | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kenneth Bradley Hall such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| ZG2753 | Medicaid | South Carolina | |
| 399593491A | Medicaid | Georgia | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1360 Caduceus Way, Bldg 900 Ste 101
Watkinsville, Georgia |
| Zip: | 30677-7300 |
| Phone Number: | 706-543-3629 |
| Fax Number: | 706-543-5107 |
Patients can reach Dr. Kenneth Bradley Hall at
1360 Caduceus Way, Bldg 900 Ste 101, Watkinsville, Georgia or can
call to book an appointment on 706-543-3629.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.