THOMAS R. HULL D.D.S. (NPI# 1134457153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134457153 |
| Entity Type | Organization |
| Organization Name | THOMAS R. HULL D.D.S. |
| Practice Address |
35 S State St Preston ID 83263-1239 |
| Practice Telephone | 2088520194 |
| Practice Fax Number | 2088523817 |
| Mailing Telephone | 2088520194 |
| Mailing Fax Number | 2088523817 |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2009-12-02 |
| Authorized Official Name | DR. THOMAS R. HULL (DENTIST) |
| Authorized Official Telephone | 2088520194 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D-1973 | ID | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS OF IDAHO | 6357-8 | 01 | |
| UNITED CONCORDIA | 816458 | 01 | |
| ID | 000837000 | 05 |
| Street Address |
35 S STATE ST |
| City | PRESTON |
| State | ID |
| Zip Code | 83263-1239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407829104 | Thomas Richard Hull | Dentist | 35 S State St, Preston, ID 83263-1239 | 2006-02-12 |
| 1457523805 | Kelley Family Dentistry | Dentist | 35 S State St, Preston, ID 83263-1239 | 2008-03-26 |
| 1902965130 | Larry Eldon Stokes Sr. | Dentist | 35 S State St, Suite A, Preston, ID 83263-1239 | 2006-12-06 |
| 1770691743 | Derek J Stokes | Dentist | 35 S State St, Suite A, Preston, ID 83263-1239 | 2006-08-29 |
| 1962510404 | Darrell Byron Kelley | Dentist | 35 S State St, Preston, ID 83263-1239 | 2006-08-25 |
| 1760490890 | Darron Harris Kelley | Dentist | 35 S State St, Preston, ID 83263-1239 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447735493 | Marie Luke | Massage Therapist | 8 South State, Preston, ID 83263 | 2018-09-26 |
| 1881945921 | Michael David Earley | Chiropractor | 645 N State St, Preston, ID 83263 | 2012-09-28 |
| 1184872632 | Joel Thomas Webb | Physician Assistant | 47 N 1st E, Preston, ID 83263 | 2008-09-08 |
| 1245490390 | Daniel Yugi Patten | Family Medicine | 47 N. 1st E., Preston, ID 83263 | 2008-06-12 |
| 1144313610 | Tifani Waechtler | Physical Therapist | 43 North 100 East, Preston, ID 83263 | 2006-10-02 |
| 1215035969 | Larry's Family Pharmacy, Inc. | Pharmacist | 217 South State St., Preston, ID 83263 | 2006-09-20 |
| 1801909122 | David Bradley Beckstead | Family Medicine | 41 North 1 East, Preston, ID 83263 | 2006-08-17 |
| 1922022482 | Alan D Holt | Nurse Anesthetist, Certified Registered | 44 North 100 East, Preston, ID 83263 | 2006-07-27 |
| 1780979914 | Stuart G Knapp | Family Medicine | 47 N 1st E, Preston, ID 83263 | 2011-06-15 |
| 1104135326 | Chantee I Wyatt | Physician Assistant | 47 N 1st E, Preston, ID 83263 | 2010-10-05 |
| Find all providers in zip 83263 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275608804 | Kurt Owen Iverson | Dentist | 135 S State St, Preston, ID 83263-1240 | 2006-11-21 |
| 1649212689 | Brett D. Naylor | Dentist | 25 N 1st E, Preston, ID 83263-1325 | 2006-06-12 |
| 1407829104 | Thomas Richard Hull | Dentist | 35 S State St, Preston, ID 83263-1239 | 2006-02-12 |
| 1841321510 | Tami Karban | Dentist | 317 Saint Paul St Sw, Preston, MN 55965-1097 | 2007-03-07 |
| 1053476564 | Spring Valley Dental | Dentist | 317 Saint Paul St Sw, Preston, MN 55965-1097 | 2006-12-26 |
| 1770691743 | Derek J Stokes | Dentist | 35 S State St, Suite A, Preston, ID 83263-1239 | 2006-08-29 |
| 1962510404 | Darrell Byron Kelley | Dentist | 35 S State St, Preston, ID 83263-1239 | 2006-08-25 |
| 1760490890 | Darron Harris Kelley | Dentist | 35 S State St, Preston, ID 83263-1239 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891304556 | Birchwood Dental, Pllc | Dentist | 3325 N Ten Mile Rd Ste 140, Meridian, ID 83646-6951 | 2020-07-29 |
| 1588273635 | Atlantis Dental Care, P.a. | Dentist | 13238 W Persimmon Ln Ste 100, Boise, ID 83713-1968 | 2020-07-24 |
| 1235747338 | Dentists of Boise and Orthodontics, PC | Dentist | 7500 W State St Ste 110, Boise, ID 83714-6074 | 2020-07-15 |
| 1346895232 | Tejasi Avasare | Dentist | 8321 W Overland Rd, Boise, ID 83709-1640 | 2019-08-07 |
| 1740835248 | Braden Comstock | Dentist | 2329 N Merritt Creek Loop, Coeur D Alene, ID 83814-4950 | 2019-08-02 |
| 1902450430 | Jaren M Thueson | Dentist | 106 E 1st N, Rexburg, ID 83440-1614 | 2019-08-01 |
| 1528610359 | Melissa Marie Pysnak | Dentist | 8850 W Emerald St Ste 150, Boise, ID 83704-4809 | 2019-07-11 |
| 1811555758 | Daniel Whitesitt | Dentist | 14596 Id-41, Rathdrum, ID 83858 | 2019-06-05 |
| 1104483122 | Meghan Cyrena Bristlin | Dentist | 3326 4th St Ste 3, Lewiston, ID 83501-4455 | 2019-05-24 |
| 1124684584 | Trevor Tafoya Dds Victory Dental, Pllc | Dentist | 7421 W Victory Rd, Boise, ID 83709-5106 | 2019-05-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.