John Daniel Hulsey, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN011438 Issued in GA

Practice address

912 Killian Hill Rd SW Ste 100
Lilburn, GA 30047-8976

Phone

(770) 923-3966

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

No

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.

• Gangwisch Dental Group, L.L.C.

  • Dentist
  • Lilburn, GA
  • NPI 1588849186
  NPD (past)
• Lilburn Dental Group, L.L.C.

  • General Practice Dentistry
  • Lilburn, GA
  • NPI 1346322989

  General Practice

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629150784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 DAISY MEADOW TRL",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300444686",
            "telephone_number": "678-377-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 KILLIAN HILL RD SW STE 100",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300478976",
            "telephone_number": "770-923-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULSEY",
        "first_name": "JOHN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN011438",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3268",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry D Howard III
• Paytie Davis Howard, D.D.S.
• Frederick Perlee Howe, P.T.
• Walter Wiliam Howell Jr., RN
• Thamir Huaytalla
• Aaron J. Hupman, M.D.
• Eunmi Hur, MD
• Hyperbaric Research and Treatment Center
• Renae Ibanga, PHARM. D.
• Independent Physical Therapy of Ga LLC

• All providers in Lilburn, GA
• General Practice Dentistry in Georgia

• 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.