Provider Demographics
NPI:1083781256
Name:HALL, KATHERINE NICHOLS (DDS)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:NICHOLS
Last Name:HALL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 CHURCH ST STE 430
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37219-3306
Mailing Address - Country:US
Mailing Address - Phone:615-777-2600
Mailing Address - Fax:615-777-2602
Practice Address - Street 1:500 CHURCH ST STE 430
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37219-3306
Practice Address - Country:US
Practice Address - Phone:615-777-2600
Practice Address - Fax:615-777-2602
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS0000005352122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist