HALL OF FAME DENTAL
NPI 1922457746
Dentist - General Practice in Bakersfield, CA

Active since June 13, 2016
3015 CALLOWAY DR UNIT 14, BAKERSFIELD, CA 93312(661) 587-6453 Get Directions Write a Review

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

About Hall Of Fame Dental NPPES

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

HALL OF FAME DENTAL (NPI 1922457746) is a healthcare organization registered as a general practice in Bakersfield, California and active in the NPI registry since June 2016. The organization lists Kelcie Dee Thompson, Billing/insurance Manager, as its authorized official.

NPPES Registry Identity

NPI1922457746
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCOSTES DAVIS, DDS DENTAL PRACTICE
Location Address3015 CALLOWAY DR UNIT 14Bakersfield, CA 93312-2659
Mailing Address3015 Calloway Dr Unit 14Bakersfield, CA 93312-2659 · (661) 587-6453
Organization SubpartNo
Authorized OfficialKelcie Dee ThompsonBilling/insurance Manager · (928) 925-6522
Enumeration DateJune 13, 2016
NPI 1922457746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 6359
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.
3015 CALLOWAY DR UNIT 14, Bakersfield, CA 93312

Other Names 1

Doing Business AsHall Of Fame Dental

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

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 Costes Davis, Dds Dental Practice's NPI number?

The NPI number for Costes Davis, Dds Dental Practice is 1922457746. It was assigned to this organization in the NPPES registry on June 13, 2016. The provider is doing business as Hall Of Fame Dental.

Where is Costes Davis, Dds Dental Practice located?

Costes Davis, Dds Dental Practice is located at 3015 Calloway Dr Unit 14, Bakersfield, CA 93312. The listed phone number is (661) 587-6453.

What is Costes Davis, Dds Dental Practice'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 Costes Davis, Dds Dental Practice was last updated on June 13, 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.