KEVIN HALL DDS OMFS PLLC
NPI 1174099196
Dentist - Oral and Maxillofacial Surgery in Fort Myers, FL

Q: What is Kevin Hall Dds Omfs PLLC's NPI number?

The NPI number for Kevin Hall Dds Omfs PLLC is 1174099196. It was assigned to this organization in the NPPES registry on October 17, 2018.

Q: What is Kevin Hall Dds Omfs PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since October 17, 2018

2776 CLEVELAND AVE, FORT MYERS, FL 33901(877) 667-7669(405) 848-0033 Get Directions Write a Review

NPPES record last updated: October 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kevin Hall Dds Omfs Pllc NPPES

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

KEVIN HALL DDS OMFS PLLC (NPI 1174099196) is a healthcare organization registered as an oral and maxillofacial surgery in Fort Myers, Florida and active in the NPI registry since October 2018. The organization lists Kevin P Hall, Owner, as its authorized official.

NPPES Registry Identity

NPI1174099196

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameKEVIN HALL DDS OMFS PLLC

Location Address2776 CLEVELAND AVEFort Myers, FL 33901-5864

Mailing AddressPo Box 269070Oklahoma City, OK 73126-9070 · (877) 667-7669 · Fax (405) 848-0033

Phone(877) 667-7669

Fax(405) 848-0033

Organization SubpartNo

Authorized OfficialKevin P HallOwner · (877) 667-7669

Enumeration DateOctober 17, 2018

✔ NPI 1174099196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

2776 CLEVELAND AVE, Fort Myers, FL 33901

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

FELICIA NICOLE REEVES CAA

Anesthesiologist Assistant