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DR. KENNETH BRADLEY HALL DMD
NPI 1053358366
Dentist in Watkinsville, GA

Active since June 02, 2006
1360 CADUCEUS WAY, BLDG 900 STE 101, WATKINSVILLE, GA 30677(706) 543-3629(706) 543-5107 Get Directions Write a Review

NPPES record last updated: December 13, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kenneth Bradley Hall Dmd NPPES

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

DR. KENNETH BRADLEY HALL DMD (NPI 1053358366) is an individual dentist in Watkinsville, Georgia, licensed in Georgia (DN012753) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1053358366
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. KENNETH BRADLEY HALLCredential: DMD
Location Address1360 CADUCEUS WAY, BLDG 900 STE 101Watkinsville, GA 30677-7300
Mailing Address1360 Caduceus Way, Bldg 900 Ste 101Watkinsville, GA 30677-7300 · (706) 543-3629 · Fax (706) 543-5107
Phone(706) 543-3629
Fax(706) 543-5107
Sole ProprietorYes
Enumeration DateJune 2, 2006
Last NPPES UpdateDecember 13, 2016
✔ NPI 1053358366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in GA · DN012753
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1360 CADUCEUS WAY, Watkinsville, GA 30677
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Other Identifiers 2

MedicaidZG2753SC
Medicaid399593491AGA

Other Providers at the Same Location NPPES 20

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

AOA HEARING AIDS
Audiologist
1360 CADUCEUS WAY, BUILDING 200, SUITE 101
WATKINSVILLE, GA 30677
Oconee County (706) 310-7115
DR. KAITLIN THRIFT DMD
Dentist (General Practice)
1360 CADUCEUS WAY
WATKINSVILLE, GA 30677
Oconee County (706) 715-0229
DR. RICHARD C MANUS JR. D.M.D.
Dentist (Oral and Maxillofacial Surgery)
1360 CADUCEUS WAY, BUILDING 500 SUITE 101
WATKINSVILLE, GA 30677
Oconee County (706) 548-0604
JULIO ERNESTO PENA M.D.
Internal Medicine (Nephrology)
1360 CADUCEUS WAY, BLDG 400, SUITE 104
WATKINSVILLE, GA 30677
Oconee County (706) 850-8135
HALEE WRIGHT GRIFFITH NP
Nurse Practitioner (Family)
1360 CADUCEUS WAY
WATKINSVILLE, GA 30677
Oconee County (706) 850-8135
CHANDLER GROVE
Dentist (General Practice)
1360 CADUCEUS WAY
WATKINSVILLE, GA 30677
Oconee County (706) 543-3629
KARA HESTER JOHNSON DMD
Dentist (General Practice)
1360 CADUCEUS WAY
WATKINSVILLE, GA 30677
Oconee County (706) 543-3629
ELIZABETH SCOTT RBT
Behavior Technician
1360 CADUCEUS WAY, BUILDING 600 STE 101
WATKINSVILLE, GA 30677
Oconee County (762) 499-3476

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 Kenneth Hall's NPI number?

The NPI number for Kenneth Hall is 1053358366. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Kenneth Hall located?

Kenneth Hall practices at 1360 Caduceus Way Bldg 900 Ste 101, Watkinsville, GA 30677. The listed phone number is (706) 543-3629.

What is Kenneth Hall's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Kenneth Hall was last updated on December 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.