Stephen A Tullis DDS

NPI 1700955416 - Dentist - 1223G0001X

NPI Details
NPI 1700955416
Gender Male
Enumeration Date 11/07/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
6520 HOLDREGE ST
LINCOLN NE, 68505-1655, US
Phone (402) 464-1861
Fax (402) 464-1808
Business Location
6520 HOLDREGE ST
LINCOLN NE, 68505-1655, US
Phone (402) 464-1861
Fax (402) 464-1808
Toxanomy
Taxonomy Code 1223G0001X
License State Nebraska
License Number 5960
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According to our database, Stephen A Tullis DDS NPI is 1700955416, taxonomy code is 1223G0001X and license number is 5960, license state is located at Nebraska. Stephen A Tullis DDS physically located at 6520 Holdrege St, Lincoln NE, 68505-1655. NPI Number Stephen A Tullis DDS has the Individual type.

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1700955416 NPI number is provided on an as is basis without warranty of any kind. 1700955416 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen A Tullis DDS are for informational purposes only.