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Contact Information

JEROME D HALLE, DDS
7520 MONTGOMERY BLVD NE
BLDG C STE A
ALBUQUERQUE, NM87109
 Phone: 505-889-3777
 Fax: 505-830-1027
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for JEROME D HALLE · (Male)

NPI # 1477645737
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 09/28/2006
Last updated 11/11/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NM License # DD1200
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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