THOMAS R. HULL D.D.S. NPI 1134457153

NPI Information

NPI: 1134457153
Provider Name: THOMAS R. HULL D.D.S.
Classification: Dentist - 1223G0001X
Specialization: General Practice
Entity Type: Organization
Address: 35 S STATE ST
PRESTON, ID
ZIP 83263
Phone: (208) 852-0194

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NPI Details

THOMAS R. HULL D.D.S. is a general practice dentist in Preston, ID. The provider is 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. THOMAS R. HULL D.D.S. NPI is 1134457153. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

35 S STATE ST
PRESTON, ID
ZIP 83263-239
Phone: (208) 852-0194
Fax: (208) 852-3817

The provider's authorized official is Thomas R. Hull .
The authorized official title is Dentist and has the following contact phone number (208) 852-0194.

The enumeration date for this NPI number is 12/2/2009 and was last updated on 12/2/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	D-1973	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	816458	OTHER		UNITED CONCORDIA
2	000837000	MEDICAID	IDAHO
3	6357-8	OTHER		BLUE CROSS OF IDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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