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NPI Code Detail

MEDICARE: DR. DAVID H HULSEY D.D.S.

MEDICARE: DR. DAVID H HULSEY D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDN009438GA

General Provider Information

NPI Number : 1104986298
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID H HULSEY D.D.S.
Provider Business Mailing Address
First Line : 1761 S LUMPKIN ST
Second Line :
City : ATHENS
State : GA
Zip : 30606-4740
Country : US
Telephone Number : 706-543-0767
Fax Number :
Provider Business Practice Location Address
First Line : 1761 S LUMPKIN ST
Second Line :
City : ATHENS
State : GA
Zip : 30606-4740
Country : US
Telephone Number : 706-543-0767
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2006
Last Update Date : 07/08/2007

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