Provider Demographics
NPI:1336243328
Name:J. ADAM HALL ORTHODONTICS, P.A.
Entity Type:Organization
Organization Name:J. ADAM HALL ORTHODONTICS, P.A.
Other - Org Name:HAROLD J KOPPEL D.D.S., M.S.D. PA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ADAM
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:501-525-3238
Mailing Address - Street 1:136 FILES RD
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-6914
Mailing Address - Country:US
Mailing Address - Phone:501-525-3238
Mailing Address - Fax:501-525-3952
Practice Address - Street 1:136 FILES RD
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-6914
Practice Address - Country:US
Practice Address - Phone:501-525-3238
Practice Address - Fax:501-525-3952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-11
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR17801223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty