Hull, Donald Frederick

Hull, Donald Frederick is an individual health care provider with primary practice located at 4100 Montgomery Dr Ste B , Santa Rosa CA 95405-5283. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Hull, Donald Frederick can be contacted via phone (707) 537-2020.

Contact Information

Primary practice address
4100 Montgomery Dr Ste B Santa Rosa CA 95405-5283
Fax: (707) 537-2025
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 19750 California

Profile Details

NPI number 1295871515
LBN Legal business name Hull, Donald Frederick
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295871515 NPPES
California MEDICAID D19750

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