Provider Demographics
NPI:1568708634
Name:TULL AND BEHLING, LLC
Entity Type:Organization
Organization Name:TULL AND BEHLING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CLINTON
Authorized Official - Middle Name:J
Authorized Official - Last Name:TULL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:410-757-5437
Mailing Address - Street 1:1507 RITCHIE HWY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ARNOLD
Mailing Address - State:MD
Mailing Address - Zip Code:21012-2743
Mailing Address - Country:US
Mailing Address - Phone:410-757-5437
Mailing Address - Fax:410-757-0699
Practice Address - Street 1:1507 RITCHIE HWY
Practice Address - Street 2:SUITE 201
Practice Address - City:ARNOLD
Practice Address - State:MD
Practice Address - Zip Code:21012-2743
Practice Address - Country:US
Practice Address - Phone:410-757-5437
Practice Address - Fax:410-757-0699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-18
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD8142122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty