# ST JUGAN DENTAL AND HEALTH SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215612171
- **Authorized official:** CHRISTOPHER C HULEN DDS (OWNER)
- **Authorized official phone:** (765) 675-8745

## Contact information

- **Practice address:** 423 S MAIN ST, TIPTON, IN 46072-2038
- **Practice address phone:** (765) 675-8745
- **Practice address fax:** (765) 374-0990
- **Mailing address:** 423 S MAIN ST, TIPTON, IN 46072-2038
- **Mailing address phone:** (765) 675-8745
- **Mailing address fax:** (765) 374-0990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 06/19/2023
- **Last updated:** 06/19/2023