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Mr. Lonnie Bruce Hall I, DDS
Pediatric Dentist in West New York, New Jersey
NPI 1043336597

Lonnie Bruce Hall I is a Pediatric Dentist based in West New York, NJ and is specialized in Pediatric Dentistry. Lonnie Bruce Hall I practices in West New York, NJ and has the professional credentials of DDS. The NPI Number for Lonnie Bruce Hall I is 1043336597 and holds a License No. 22DIO13411800 (New Jersey).

The current practice location address for Lonnie Bruce Hall I is 329 60Th St, West New York, NJ and can be reached out via phone at 201-868-0070 and via fax at 201-869-4030.

Location: 329 60Th St, West New York, NJ, 07093-5497
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043336597
Provider Name
Lonnie Bruce Hall I
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
329 60Th St, West New York, NJ, 07093-5497
Phone Number
201-868-0070
Fax Number
201-869-4030
Provider Enumeration Date
03/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0845108 05 NJ
institution
Provider Business Practice Location Address Details
Address
329 60Th St
City
West New York
State
New Jersey
Zip
07093-5497
Phone Number
201-868-0070
Fax Number
201-869-4030
person
Provider Business Mailing Address Details
Address
329 60Th St
City
West New York
State
New Jersey
Zip
07093-5497
Phone Number
201-868-0070
Fax Number
201-869-4030
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
22DIO13411800 (New Jersey)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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