Provider Demographics
NPI:1104959444
Name:HULL, CAREN P (DDS)
Entity type:Individual
Prefix:
First Name:CAREN
Middle Name:P
Last Name:HULL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 N HAYDEN RD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85257-2307
Mailing Address - Country:US
Mailing Address - Phone:480-947-3747
Mailing Address - Fax:480-425-9013
Practice Address - Street 1:2601 N HAYDEN RD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85257-2307
Practice Address - Country:US
Practice Address - Phone:480-947-3747
Practice Address - Fax:480-425-9013
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ46841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice