Active NPIIndividual providerSole proprietor

Dr. Justin C Mull, DMD

Dentist, Oral and Maxillofacial Surgery in Walpole, Massachusetts

NPI Number1255665634
Practice location
1428 Main St Ste 1, Walpole, MA 02081-1729
Fax
508-668-8808
Last updated
February 24, 2021

Justin C. Mull is a Dentist, Oral and Maxillofacial Surgery based in Walpole, MA. Justin C. Mull practices in Walpole, MA and has the professional credentials of DMD. The NPI Number for Justin C. Mull is 1255665634 and holds a License No. DN1856015 (MA). The current practice location address for Justin C. Mull is 1428 Main St Ste 1, Walpole, MA 02081-1729 and can be reached out via phone at 508-668-8008 and via fax at 508-668-8808.

Provider Profile Details

NPI Number
1255665634
Provider Name
Justin C. Mull
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1428 Main St Ste 1, Walpole, MA 02081-1729
Phone Number
508-668-8008
Fax Number
508-668-8808
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Sole Proprietor
Yes
Provider Enumeration Date
October 1, 2009
Last Update Date
February 24, 2021
Certification Date
February 24, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1428 Main St Ste 1
Walpole, MA 02081-1729
Zip
02081-1729
Phone Number
508-668-8008
Fax Number
508-668-8808
Walpole, MA 02081Get directions →

Provider Business Mailing Address Details

Address
1428 Main Street Dental Associates
Suite One
Walpole, MA 02081-1729
City
Walpole
State
MA
Zip
02081-1729
Phone Number
508-668-8008
Fax Number
508-668-8808

License Information

License Number (1)
DN1856015
License State (1)
MA
Taxonomy (1)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · Primary
License Number (2)
51363
License State (2)
CA
Taxonomy (2)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Justin C Mull, DMD?

The NPI number of Dr. Justin C Mull, DMD is 1255665634. It was assigned on October 1, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Justin C Mull, DMD?

Dr. Justin C Mull, DMD is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in MA under license number DN1856015.

Where does Dr. Justin C Mull, DMD practice?

The practice location is 1428 Main St Ste 1, Walpole, MA 02081-1729. The office can be reached at 508-668-8008 (phone) or 508-668-8808 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255665634 directly on the NPPES registry website.

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