Mr. Lonnie Bruce Hall I is a West New York, New Jersey based Pediatric Dentist who is specialized in Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Mr. Lonnie Bruce Hall I is 22DIO13411800 for Pediatric Dentistry in New Jersey. His current practice location is 329 60th St, West New York. Patients can reach him at 201-868-0070.
Mr. Lonnie Bruce Hall I provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Mr. Lonnie Bruce Hall I 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:
Mr. Lonnie Bruce Hall I
Specialization:
Pediatric Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
329 60th St, West New York, New Jersey, 07093-5497
Phone:
201-868-0070
Fax:
201-869-4030
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:
1043336597
NPI Enumeration Date:
22 Mar, 2007
NPI Last Update On:
09 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Lonnie Bruce Hall I are as mentioned below.
License Number
Specialization
State
Status
22DIO13411800
Pediatric Dentistry
New Jersey
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Lonnie Bruce Hall I such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0845108
Medicaid
New Jersey
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
329 60th St, West New York, New Jersey
Zip:
07093-5497
Phone Number:
201-868-0070
Fax Number:
201-869-4030
Patients can reach Mr. Lonnie Bruce Hall I at 329 60th St, West New York, New Jersey or can call to book an appointment on 201-868-0070. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.