HALLE PARK FAMILY DENTISTRY, P.C.
NPI 1003361130
Dentist - General Practice in Collierville, TN

Q: What is Halle Park Family Dentistry, P.C.'s NPI number?

The NPI number for Halle Park Family Dentistry, P.C. is 1003361130. It was assigned to this organization in the NPPES registry on August 18, 2016.

Q: What is Halle Park Family Dentistry, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since August 18, 2016

1108 HALLE PARK CIR, COLLIERVILLE, TN 38017(901) 457-7753 Get Directions Write a Review

NPPES record last updated: August 18, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Halle Park Family Dentistry, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HALLE PARK FAMILY DENTISTRY, P.C. (NPI 1003361130) is a healthcare organization registered as a general practice in Collierville, Tennessee and active in the NPI registry since August 2016. The organization lists Ettienne Van Zyl, President, as its authorized official.

NPPES Registry Identity

NPI1003361130

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameHALLE PARK FAMILY DENTISTRY, P.C.

Location Address1108 HALLE PARK CIRCollierville, TN 38017-7084

Mailing Address1090 Northchase Pkwy Se, Ste 150Marietta, GA 30067-6405 · (770) 916-5031

Phone(901) 457-7753

Organization SubpartNo

Authorized OfficialEttienne Van ZylPresident · (901) 457-7753

Enumeration DateAugust 18, 2016

✔ NPI 1003361130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedDentistTaxonomy 122300000X

Also ListedDentist · EndodonticsTaxonomy 1223E0200X

Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X

Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X

1108 HALLE PARK CIR, Collierville, TN 38017

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VAN ZYL CENTER FOR ADVANCED DENTISTRY

Dentist (General Practice)

1108 HALLE PARK CIR
COLLIERVILLE, TN 38017

Shelby County (901) 457-7753

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Halle Park Family Dentistry, P.C.'s NPI number?

The NPI number for Halle Park Family Dentistry, P.C. is 1003361130. It was assigned to this organization in the NPPES registry on August 18, 2016.

Where is Halle Park Family Dentistry, P.C. located?

Halle Park Family Dentistry, P.C. is located at 1108 Halle Park Cir, Collierville, TN 38017. The listed phone number is (901) 457-7753.

What is Halle Park Family Dentistry, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Halle Park Family Dentistry, P.C. was last updated on August 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.