Provider Demographics
NPI:1124023775
Name:HULEN, STEPHEN BARR (DMD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:BARR
Last Name:HULEN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3838 US 27 S
Mailing Address - Street 2:STE 4
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-5460
Mailing Address - Country:US
Mailing Address - Phone:863-385-8422
Mailing Address - Fax:863-385-0432
Practice Address - Street 1:3838 US 27 S
Practice Address - Street 2:STE 4
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-5460
Practice Address - Country:US
Practice Address - Phone:863-385-8422
Practice Address - Fax:863-385-0432
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN00103071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice