Healthcare Provider Details

I. General information

NPI: 1841426905
Provider Name (Legal Business Name): JAMES TURNER HULL DDS, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2009
Last Update Date: 06/03/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7800 PROVIDENCE RD STE 201
CHARLOTTE NC
28226-2952
US

IV. Provider business mailing address

7800 PROVIDENCE RD STE 201
CHARLOTTE NC
28226-2952
US

V. Phone/Fax

Practice location:
  • Phone: 704-334-7203
  • Fax: 704-909-2692
Mailing address:
  • Phone: 704-334-7203
  • Fax: 704-909-2692

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number8166
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: