Jack C Kulm, DMD PA is a
Dentist based in Wendell, Idaho. Jack C Kulm is licensed to practice in Idaho (license number D1679) and his current practice location is
410 N Idaho St, Wendell, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 536-5441.
NPI number for Jack C Kulm is 1275641540 and his current mailing address is 410 N Idaho St, Wendell, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1275641540.
Healthcare Provider's Profile
| Full Name | Jack C Kulm |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | 410 N Idaho St, Wendell, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1275641540
- Provider Enumeration Date: 08/28/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Jack C Kulm such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275641540 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | D1679 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jack C Kulm is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jack C Kulm, DMD PA
410 N Idaho St,
Wendell, ID 83355
Ph: (208) 536-5441 | Jack C Kulm, DMD PA
410 N Idaho St,
Wendell, ID 83355
Ph: (208) 536-5441 |
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