Individual
DR. EVON ELIZABETH HULSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1212 N KENTUCKY ST, KINGSTON, TN 37763-2328
(865) 717-3586
(865) 717-3581
Mailing address
1203 OLD N KENTUCKY ST, KINGSTON, TN 37763-2358
(865) 717-3586
(865) 717-3581
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS8110
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3633621
—
TN
Enumeration date
10/13/2005
Last updated
03/26/2011
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