| Kasey Hall, Dmd, Llc | |
|
14210 Se Sunnyside Rd Ste 100 Clackamas OR 97015-5241 | |
| (503) 658-3384 | |
| Not Available |
| Full Name | Kasey Hall, Dmd, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 14210 Se Sunnyside Rd Ste 100, Clackamas, Oregon |
| Authorized Official Name and Position | Kasey Hall (OWNER/DENTIST) |
| Authorized Official Contact | 5036583384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kasey Hall, Dmd, Llc 14210 Se Sunnyside Rd Ste 100 Clackamas OR 97015-5241 Ph: (503) 658-3384 | Kasey Hall, Dmd, Llc 14210 Se Sunnyside Rd Ste 100 Clackamas OR 97015-5241 Ph: (503) 658-3384 |
| NPI Number | 1831989706 |
|---|---|
| Provider Enumeration Date | 05/12/2025 |
| Last Update Date | 05/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831989706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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