Mr Lonnie Bruce Hall I, DDS - Dentist in West New York, NJ

Mr Lonnie Bruce Hall I, DDS is a Dentist - Pediatric Dentistry based in West New York, New Jersey. Mr Lonnie Bruce Hall I is licensed to practice in New Jersey (license number 22DIO13411800) and his current practice location is 329 60th St, West New York, New Jersey. He can be reached at his office (for appointments etc.) via phone at (201) 868-0070.

NPI number for Mr Lonnie Bruce Hall I is 1043336597 and his current mailing address is 329 60th St, West New York, New Jersey. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043336597.

Contact Information

Mr Lonnie Bruce Hall I, DDS
329 60th St,
West New York, NJ 07093-5497
(201) 868-0070
(201) 869-4030

Map and Direction




Healthcare Provider's Profile

Full NameMr Lonnie Bruce Hall I
GenderMale
SpecialityDentist - Pediatric Dentistry
Location329 60th St, West New York, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043336597
  • Provider Enumeration Date: 03/22/2007
  • Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for Mr Lonnie Bruce Hall I such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043336597NPI-NPPES
0845108MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0221XDentist - Pediatric Dentistry 22DIO13411800 (New Jersey)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Lonnie Bruce Hall I is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Lonnie Bruce Hall I, DDS
329 60th St,
West New York, NJ 07093-5497

Ph: (201) 868-0070
Mr Lonnie Bruce Hall I, DDS
329 60th St,
West New York, NJ 07093-5497

Ph: (201) 868-0070

Reviews and Comments


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