Individual provider Active NPI

Jeffrey Tulett, DMD

  • General Practice Dentistry
  • Hardin, MT
National Provider Identifier
1124468376
Registry record updated Oct 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5988 Issued in MT
Practice address
339 3Rd St W
Hardin, MT 59034-1703
Phone
(406) 665-3300
NPI assigned
Jul 2, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5988 MT Primary
Dentist 122300000X DEN-DEN-LIC-5988 MT

Addresses

Primary practice location

339 3Rd St W
Hardin, MT 59034-1703

Mailing address

339 3Rd St W
Hardin, MT 59034-1703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150302001222 MT Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3870819253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5988MTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hardin Dental Clinic, PC General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509062400000",
    "number": "1124468376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 3RD ST W",
            "city": "HARDIN",
            "state": "MT",
            "postal_code": "590341703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 3RD ST W",
            "city": "HARDIN",
            "state": "MT",
            "postal_code": "590341703",
            "telephone_number": "406-665-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULETT",
        "first_name": "JEFFREY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-02",
        "last_updated": "2017-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "5988",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MT",
            "license": "DEN-DEN-LIC-5988",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hardin, MT

Sources for this page

Verify at the official NPI Registry.