KEVIN HALL DDS OMFS PLLC (NPI# 1174099196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174099196 |
| Entity Type | Organization |
| Organization Name | KEVIN HALL DDS OMFS PLLC |
| Practice Address |
2776 Cleveland Ave Fort Myers FL 33901-5864 |
| Mailing Address |
Po Box 269070 Oklahoma City OK 73126-9070 |
| Practice Telephone | 8776677669 |
| Practice Fax Number | 4058480033 |
| Mailing Telephone | 8776677669 |
| Mailing Fax Number | 4058480033 |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2018-10-17 |
| Authorized Official Name | KEVIN P HALL (OWNER) |
| Authorized Official Telephone | 8776677669 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Street Address |
2776 CLEVELAND AVE |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33901-5864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730185356 | Matthew Edward Meagher | Physician Assistant | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 | 2005-06-28 |
| 1720695125 | Jessica Anne Tyler | Nurse Practitioner | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 | 2020-09-29 |
| 1104455187 | Lee Memorial Health System | Pharmacy | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 | 2020-04-02 |
| 1508490475 | Phillip Wendinger | Family Medicine | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 | 2020-02-28 |
| 1285278523 | Patricia Bernard | Nurse Practitioner | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 | 2019-10-30 |
| 1477103927 | Jason Cotterill | Anesthesiologist Assistant | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 | 2019-09-17 |
| 1104476985 | Katelyn Van De Water | Anesthesiologist Assistant | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 | 2019-09-13 |
| 1013566264 | Felicia Taylor | Anesthesiologist Assistant | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 | 2019-09-10 |
| 1235788530 | Amanda Linzalone | Anesthesiologist Assistant | 2776 Cleveland Ave, Fort Myers, FL 33901-5855 | 2019-09-09 |
| 1316592694 | Scott Danek | Anesthesiologist Assistant | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 | 2019-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811536972 | Daniel Wolfe | Speech-Language Pathologist | 3375 Evans Avenue, Fort Myers, FL 33901 | 2020-01-06 |
| 1841764065 | Medicab Transportation, LLC | Ambulance | 3049 Cleveland Avenue, Suite 275, Fort Myers, FL 33901 | 2019-01-22 |
| 1760963649 | Jamies Home Care Services LLC | Home Health | 1944 Suwanee Ave, Fort Myers, FL 33901 | 2018-08-28 |
| 1942673900 | Adriana Ramnarine | Dietitian, Registered | 2727 Winkler Ave., Fort Myers, FL 33901 | 2015-11-12 |
| 1215327093 | Carecommunity Inc. | Foster Care Agency | 4066 Evans Ave Ste 4, Fort Myers, FL 33901 | 2015-01-30 |
| 1013327832 | Neck Pain Back Pain and Headache Relief Center of Ft. Myers, LLC | Chiropractor | 4144 Cleveland Ave, Suite 2, Ft. Myers, FL 33901 | 2014-05-01 |
| 1588087076 | Larry Philip Garrett | Family Medicine | 3543 Stuart Ct, Fort Myers, FL 33901 | 2014-02-04 |
| 1144657479 | Janet M Michael | Registered Nurse | 3763 Evans Ave., Fort Myers, FL 33901 | 2013-10-01 |
| 1366879785 | Gina Lee Guerrero | Licensed Practical Nurse | 3736 Evans Ave, Fort Myers, FL 33901 | 2013-09-30 |
| 1396186649 | Ronald Edward Trapp | Dentist | 2470 Edison Ave, Project Dentists Care of Sw Florida, Fort Myers, FL 33901 | 2013-07-16 |
| Find all providers in zip 33901 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316078611 | James Richard Piano | Dentist | 11166 Harbour Estates Cir, Fort Myers, FL 33908-7946 | 2007-03-08 |
| 1033176037 | Robert Dale Gear Jr. | Dentist | 26 Barkley Cir, Suite A, Fort Myers, FL 33907-7530 | 2006-04-26 |
| 1275593980 | Mark R Streater | Dentist | 8267 College Parkway, Fort Myers, FL 33919 | 2006-03-25 |
| 1528027844 | Gerald Laboda | Dentist | 5285 Summerlin Rd, Suite 101, Fort Myers, FL 33919-7602 | 2006-03-23 |
| 1245299569 | Harvey S Satz Dmd | Dentist | 8267 College Pkwy, Fort Myers, FL 33919-5193 | 2006-03-23 |
| 1689830838 | Heather L Moulzolf | Dentist | 8267 College Parkway, Fort Myers, FL 33919 | 2008-08-06 |
| 1255491700 | Rafael Alcalde | Dentist | 5150 Mason Corbin Ct, Suite #2, Fort Myers, FL 33907-7733 | 2006-12-12 |
| 1649230210 | Southwest Florida Oral & Facial Surgery | Dentist | 8267 College Parkway, Fort Myers, FL 33919-5193 | 2006-03-27 |
| 1164482873 | Timothy D Hogan | Dentist | 8267 College Pkwy, Fort Myers, FL 33919-5193 | 2006-03-25 |
| 1912966201 | Tinerfe J Tejera | Dentist | 8267 College Pkwy, Fort Myers, FL 33919-5193 | 2006-03-23 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33901 |
Please comment or provide details below to improve the information on KEVIN HALL DDS OMFS PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.