Hall, Jon Bradley

Hall, Jon Bradley is an individual health care provider with primary practice located at 5211 S Fletcher Ave Ste 230, Fernandina Beach FL 32034-5370. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hall, Jon Bradley can be contacted via phone (904) 491-8005.

Contact Information

Primary practice address
5211 S Fletcher Ave Ste 230 Fernandina Beach FL 32034-5370
Phone: (904) 491-8005
Fax: (904) 491-8585
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN 12909 Florida

Profile Details

NPI number 1710198551
LBN Legal business name Hall, Jon Bradley
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Jan 10th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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