Hall, Richard Everett

Hall, Richard Everett is an sole proprietor health care provider with primary practice located at 3435 Main St 112 Squire Hall, Building 32, Buffalo NY 14214-3001. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Hall, Richard Everett can be contacted via phone (716) 829-6637.

Contact Information

Primary practice address
3435 Main St 112 Squire Hall, Building 32 Buffalo NY 14214-3001
Phone: (716) 829-6637
Fax: (716) 829-3019
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 035807 New York
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 197678 New York

Profile Details

NPI number 1871606376
LBN Legal business name Hall, Richard Everett
Credentials DDS, MD, PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2006
Last updated Jul 9th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871606376 NPPES
New York MEDICAID 00840235

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