DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JOHN WILLIAM HULTQUIST, DMD, MD

Active

DR. JOHN WILLIAM HULTQUIST, DMD, MD is a Oral & Maxillofacial Surgery healthcare provider located in LACKLAND A F B, Texas. NPI 1194710053 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · LACKLAND A F B, TX

Registration Details

NPI Number
1194710053
Provider Type
Individual
Gender
Male
NPI Issued
Sep 16, 2005 (20.867249842525 yrs)
Last Updated
Sep 13, 2010
License
4705 (AL)

Practice Information

Address
2200 BERGQUIST DR
SUITE 1
LACKLAND A F B, TX, 782369907
Browse TX providers · Browse ZIP 78236
Phone
2102925044
Fax
2102924946
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.