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Dr. Thomas Douglas Hall, DMD
Pediatric Dentist in Bloomington, Illinois
NPI 1891886305

Thomas Douglas Hall is a Pediatric Dentist based in Bloomington, IL and is specialized in Pediatric Dentistry. Thomas Douglas Hall practices in Bloomington, IL and has the professional credentials of DMD. The NPI Number for Thomas Douglas Hall is 1891886305 and holds a License No. (Illinois).

The current practice location address for Thomas Douglas Hall is 211 S Prospect Rd, Bloomington, IL and can be reached out via phone at 309-663-7339 and via fax at 309-663-7131.

Location: 211 S Prospect Rd, Bloomington, IL, 61704-4910
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891886305
Provider Name
Thomas Douglas Hall
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
211 S Prospect Rd, Bloomington, IL, 61704-4910
Phone Number
309-663-7339
Fax Number
309-663-7131
Provider Enumeration Date
09/28/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
211 S Prospect Rd
City
Bloomington
State
Illinois
Zip
61704-4910
Phone Number
309-663-7339
Fax Number
309-663-7131
person
Provider Business Mailing Address Details
Address
211 S Prospect Rd
City
Bloomington
State
Illinois
Zip
61704-4910
Phone Number
309-663-7339
Fax Number
309-663-7131
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
(Illinois)
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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