Organization Name: | STEPHEN B. HULEN D. M. D. P. A. |
NPI Number: | 1053332080 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHEN BARR HULEN (OWNER) |
Mailing Address: | 3838 Us Highway 27 S Suite 4 Sebring |
State: | FL US |
Postal Code: | 338705406 |
Phone Number: | 8633858422 |
Fax Number: | 8633850432 |
NPI Enumeration Date: | 07/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | DN0010207 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |