| Thomas R. Hull D.d.s. | |
|
35 S State St Preston ID 83263-1239 | |
| (208) 852-0194 | |
| (208) 852-3817 |
| Full Name | Thomas R. Hull D.d.s. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 35 S State St, Preston, Idaho |
| Authorized Official Name and Position | Thomas R. Hull (DENTIST) |
| Authorized Official Contact | 2088520194 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas R. Hull D.d.s. 35 S State St Preston ID 83263-1239 Ph: (208) 852-0194 | Thomas R. Hull D.d.s. 35 S State St Preston ID 83263-1239 Ph: (208) 852-0194 |
| NPI Number | 1134457153 |
|---|---|
| Provider Enumeration Date | 12/02/2009 |
| Last Update Date | 12/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134457153 | NPI | - | NPPES |
| 6357-8 | Other | BLUE CROSS OF IDAHO | |
| 816458 | Other | UNITED CONCORDIA | |
| 000837000 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D-1973 (Idaho) | Primary |
Justin Carter Dds P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 395 E 600 S, Preston, ID 83263 Phone: 208-852-0194 | |
Advanced Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 N 1st E, Preston, ID 83263 Phone: 208-852-0770 Fax: 208-852-3294 | |
Kelley Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 35 S State St, Preston, ID 83263 Phone: 208-852-2564 | |
Preston Dental Care, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 S State St, Preston, ID 83263 Phone: 208-852-3700 Fax: 208-852-3777 |