Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kenneth Bradley Hall, DMD

Individual provider Dentist · NPI 1053358366

Dr. Kenneth Bradley Hall, DMD is a Dentist in Watkinsville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1360 Caduceus Way Bldg 900 Ste 101
Watkinsville, GA 30677-7300
Phone: (706) 543-3629
Fax: (706) 543-5107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN012753 (GA)

Record details

NPI number1053358366
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJune 2, 2006
Last updated in NPPESDecember 13, 2016

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