NPIMap

Organization Active NPI

Hullett Dental Group, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Houston, TX
National Provider Identifier
1073983755
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
31059 Issued in TX
Legal business name
HULLETT DENTAL GROUP, PLLC
Practice address
24 Greenway PLZ Ste 1708
Houston, TX 77046-2417
Phone
(713) 439-7575
NPI assigned
Oct 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jason Hullett, DMDNPI 1770775322
Title
Owner/Oral Surgeon
Phone
(201) 407-5181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 31059 TX Primary

Addresses

Primary practice location

24 Greenway PLZ Ste 1708
Houston, TX 77046-2417

Mailing address

24 Greenway PLZ Ste 1708
Houston, TX 77046-2417

Other names 1

  • Southwest Oral and Implant Surgery Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1073983755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 GREENWAY PLZ STE 1708",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770462417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 GREENWAY PLZ STE 1708",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770462417",
            "telephone_number": "713-439-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HULLETT DENTAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "HULLETT",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER/ORAL SURGEON",
        "authorized_official_telephone_number": "201-407-5181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "31059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Oral and Implant Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.