Provider Demographics
NPI:1538305081
Name:HULLETT, ANU (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANU
Middle Name:
Last Name:HULLETT
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 GREENWAY PLZ STE 1708
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77046-2417
Mailing Address - Country:US
Mailing Address - Phone:713-439-7575
Mailing Address - Fax:
Practice Address - Street 1:24 GREENWAY PLZ STE 1708
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77046-2417
Practice Address - Country:US
Practice Address - Phone:713-439-7575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-05
Last Update Date:2016-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI023672001223S0112X
CA631271223S0112X
TX313301223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery