Provider Demographics
NPI:1841316742
Name:ALEXANDER A HALL JR. D.M.D.
Entity type:Organization
Organization Name:ALEXANDER A HALL JR. D.M.D.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:HALL
Authorized Official - Suffix:JR
Authorized Official - Credentials:DMD
Authorized Official - Phone:973-674-1414
Mailing Address - Street 1:588 EAGLE ROCK AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-3620
Mailing Address - Country:US
Mailing Address - Phone:973-674-1414
Mailing Address - Fax:
Practice Address - Street 1:588 EAGLE ROCK AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-3620
Practice Address - Country:US
Practice Address - Phone:973-674-1414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ140891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty