Provider Demographics
NPI:1437553922
Name:SULE, HUGH (DDS)
Entity type:Individual
Prefix:
First Name:HUGH
Middle Name:
Last Name:SULE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:278 S MARINE CORPS DR
Mailing Address - Street 2:HENGI PLAZA SUITE #102
Mailing Address - City:TAMUNING
Mailing Address - State:GU
Mailing Address - Zip Code:96913-3935
Mailing Address - Country:US
Mailing Address - Phone:671-646-8858
Mailing Address - Fax:671-647-8366
Practice Address - Street 1:278 S MARINE CORPS DR
Practice Address - Street 2:HENGI PLAZA SUITE #102
Practice Address - City:TAMUNING
Practice Address - State:GU
Practice Address - Zip Code:96913-3935
Practice Address - Country:US
Practice Address - Phone:671-646-8858
Practice Address - Fax:671-647-8366
Is Sole Proprietor?:No
Enumeration Date:2014-10-13
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GUD9661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice