Clinton James Tull III, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

8142 Issued in MD

Practice address

1507 Ritchie Hwy
Arnold, MD 21012-2743

Phone

(410) 757-5437

Fax

(410) 757-0699

NPI assigned

Apr 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295952679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 RITCHIE HWY",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122743",
            "telephone_number": "410-757-5437",
            "fax_number": "410-757-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 RITCHIE HWY",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122743",
            "telephone_number": "410-757-5437",
            "fax_number": "410-757-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULL",
        "first_name": "CLINTON",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "8142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "8142",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stefan Toomey, DDS
• Total Therapy LLC
• Donna M Trageser, C.R.N.P.
• Dina Tsihlas
• Tull and Behling, LLC
• Bruce Eric Turnquist, PSY.D.
• University of Maryland Community Medical Group, Inc.
• Karen Uthus, MS, CNS, LDN
• Katherine Vargas, LGPC
• Rebecca F Vickers, MD

• Pediatric Dentistry in Arnold, MD
• Providers in Arnold, MD by specialty
• Pediatric Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.