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Thomas R. Hull D.d.s.
General Practice Dentistry in Preston, Idaho
NPI 1134457153

Thomas R. Hull D.d.s. is a General Practice Dentistry based in Preston, ID and is specialized in General Practice. Thomas R. Hull D.d.s. practices in Preston, ID. The NPI Number for Thomas R. Hull D.d.s. is 1134457153 and holds a License No. D-1973 (Idaho).

The current practice location address for Thomas R. Hull D.d.s. is 35 S State St, Preston, ID and can be reached out via phone at 208-852-0194 and via fax at 208-852-3817.

Location: 35 S State St, Preston, ID, 83263-1239
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134457153
Provider Name
Thomas R. Hull D.d.s.
Credential
Provider Entity Type
Organization
Address
35 S State St, Preston, ID, 83263-1239
Phone Number
208-852-0194
Fax Number
208-852-3817
Provider Enumeration Date
12/02/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6357-8 01 BLUE CROSS OF IDAHO
816458 01 UNITED CONCORDIA
000837000 05 ID
institution
Provider Business Practice Location Address Details
Address
35 S State St
City
Preston
State
Idaho
Zip
83263-1239
Phone Number
208-852-0194
Fax Number
208-852-3817
person
Provider Business Mailing Address Details
Address
35 S State St
City
Preston
State
Idaho
Zip
83263-1239
Phone Number
208-852-0194
Fax Number
208-852-3817
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D-1973 (Idaho)
Definition
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.
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Thomas Richard Hull
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General Practice Dentistry
35 S State St,
PRESTON, ID
83263-1239
208-852-0194
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