Provider Demographics
NPI:1518187913
Name:HULLINGS, JON GERARD (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:JON
Middle Name:GERARD
Last Name:HULLINGS
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1223 N ROCK RD
Mailing Address - Street 2:F-100
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-1269
Mailing Address - Country:US
Mailing Address - Phone:316-636-1980
Mailing Address - Fax:316-636-1984
Practice Address - Street 1:1223 N ROCK RD
Practice Address - Street 2:F-100
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-1269
Practice Address - Country:US
Practice Address - Phone:316-636-1980
Practice Address - Fax:316-636-1984
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS66591223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics