| Anthony Hall, | |
|
233 W Pleasant St, Springfield, OH 45506-2146 | |
| (937) 324-5371 | |
| (937) 324-4608 |
| Full Name | Anthony Hall |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 233 W Pleasant St, Springfield, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235269978 | NPI | - | NPPES |
| 0159644 | Medicaid | OH | |
| 201115007026 | Other | CARESOURCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 20311 (Ohio) | Primary |
| Entity Name | Mobile Medical Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689620015 PECOS PAC ID: 5890765481 Enrollment ID: O20040730000013 |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Hall, 2398 Briggs Rd, Centerville Finance, OH 45459-6621 Ph: (937) 435-9781 | Anthony Hall, 233 W Pleasant St, Springfield, OH 45506-2146 Ph: (937) 324-5371 |
Dr. Dale R Hazelbaker, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 725 N Limestone St, Springfield, OH 45503 Phone: 937-325-7031 Fax: 937-322-7339 | |
Dr. Ronnie Lee Anderson, DDS MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2220 Olympic St, Springfield, OH 45503 Phone: 937-390-6616 Fax: 937-390-9706 | |
Dr. James A Maxwell Jr., DDS,MS (R) Dentist Medicare: Not Enrolled in Medicare Practice Location: 2210 Olympic St, Springfield, OH 45503 Phone: 937-399-4476 Fax: 937-399-9623 | |
Dr. Blaine Joseph Kincaid, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1240 E Main St, Springfield, OH 45503 Phone: 937-323-3400 | |
Dr. Richard Waldren, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 918 Forest Edge Ave, Springfield, OH 45503 Phone: 937-399-6424 | |
Dr. Daniel R Collins Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1919 E High St, Springfield, OH 45505 Phone: 937-324-0378 | |
Dr. Peter William Veremis, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 923 N Limestone St, Springfield, OH 45503 Phone: 937-323-7227 Fax: 932-325-4895 |