1700997269 NPI number — THOMAS E. HULL DDS, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700997269 NPI number — THOMAS E. HULL DDS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THOMAS E. HULL DDS, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1700997269
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/19/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6641 N HIGH ST.
Provider Second Line Business Mailing Address:
SUITE 102
Provider Business Mailing Address City Name:
WORTHINGTON
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43085-4038
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
614-888-7910
Provider Business Mailing Address Fax Number:
614-888-8798

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6641 N HIGH ST.
Provider Second Line Business Practice Location Address:
SUITE 102
Provider Business Practice Location Address City Name:
WORTHINGTON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43085-4038
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-888-7910
Provider Business Practice Location Address Fax Number:
614-888-8798
Provider Enumeration Date:
08/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HULL
Authorized Official First Name:
THOMAS
Authorized Official Middle Name:
EDWIN
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
614-888-7910

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  14100 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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