Provider Demographics
NPI:1700997269
Name:THOMAS E. HULL DDS, INC.
Entity Type:Organization
Organization Name:THOMAS E. HULL DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:EDWIN
Authorized Official - Last Name:HULL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:614-888-7910
Mailing Address - Street 1:6641 N HIGH ST.
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-4038
Mailing Address - Country:US
Mailing Address - Phone:614-888-7910
Mailing Address - Fax:614-888-8798
Practice Address - Street 1:6641 N HIGH ST.
Practice Address - Street 2:SUITE 102
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-4038
Practice Address - Country:US
Practice Address - Phone:614-888-7910
Practice Address - Fax:614-888-8798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2013-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH141001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty