Provider Demographics
NPI:1972089241
Name:HULEN DENTAL PARTNERS PPLC
Entity type:Organization
Organization Name:HULEN DENTAL PARTNERS PPLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:K
Authorized Official - Last Name:TALBOT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-843-5264
Mailing Address - Street 1:6217 OAKMONT BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76132-2812
Mailing Address - Country:US
Mailing Address - Phone:682-224-1464
Mailing Address - Fax:817-862-7138
Practice Address - Street 1:6217 OAKMONT BLVD
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-2812
Practice Address - Country:US
Practice Address - Phone:682-224-1464
Practice Address - Fax:817-862-7138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-19
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty