Provider Demographics
NPI:1437274214
Name:HALL, BYRON JOE JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:BYRON
Middle Name:JOE
Last Name:HALL
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:21703 KINGSLAND BLVD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-2520
Mailing Address - Country:US
Mailing Address - Phone:281-398-3432
Mailing Address - Fax:281-398-3570
Practice Address - Street 1:21703 KINGSLAND BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2520
Practice Address - Country:US
Practice Address - Phone:281-398-3432
Practice Address - Fax:281-398-3570
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX162731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice