Individual provider Active NPI

Julianna M. Hukill, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Grand Blanc, MI
National Provider Identifier
1720175631
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2901017170 Issued in MI
Practice address
5090 E Hill Rd
Grand Blanc, MI 48439-7637
Phone
(810) 445-9970
Fax
(810) 445-9971
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 2901017170 MI Primary

Addresses

Primary practice location

5090 E Hill Rd
Grand Blanc, MI 48439-7637

Mailing address

5090 E Hill Rd
Grand Blanc, MI 48439-7637
Phone (810) 445-9970

Other practice location 1

1176 1/2 S Lapeer Rd Ste B
Lapeer, MI 48446-3385
Phone (810) 667-6855

Other identifiers 2

IdentifierTypeStateIssuer
9752562480OtherMIBLUE CROSS BLUE SHIELD
4417670MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 4, 2022 through Nov 4, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901017170MIMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen E Nechvatal DMD PC Oral and Maxillofacial Surgery Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jhukill1132699@direct.hfhs.org

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1720175631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5090 E HILL RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397637",
            "telephone_number": "810-445-9970",
            "fax_number": "810-445-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5090 E HILL RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397637",
            "telephone_number": "810-445-9970",
            "fax_number": "810-445-9971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1176 1/2 S Lapeer Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Lapeer",
            "state": "MI",
            "postal_code": "484463385",
            "country_code": "US",
            "telephone_number": "810-667-6855",
            "fax_number": "810-667-6875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUKILL",
        "first_name": "JULIANNA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901017170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "9752562480",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4417670",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.