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Individual

DR. MACKAY JOSEPH HULL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MD

Contact information

Practice address
123 S 27TH ST, BILLINGS, MT 59101-4227
(406) 247-3333
Mailing address
123 S 27TH ST, BILLINGS, MT 59101-4227
(406) 247-3333

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
1481
MT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
1481
MT
208D00000X
General Practice Physician
4090
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04-2887
MT
01
05577
DENTIST
IA
01
102867700
TITLE XIX - INDIVIDUAL
WY
01
1053
PIN
01
10530
BLUE CROSS BLUE SHIELD
MT
01
112397100
TITLE XIX - GROUP
WY
01
1161
DENTIST
WY
05
12-5437
MT
01
1481
DENTIST
MT
01
4090
MEDICAL DOCTOR
MT
01
4368
DENTIST
NE
Enumeration date
12/29/2006
Last updated
03/07/2023
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