Provider Demographics
NPI:1447500186
Name:HULL, ALAINA MICHELLE (DDS)
Entity type:Individual
Prefix:
First Name:ALAINA
Middle Name:MICHELLE
Last Name:HULL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:816 W SAINT GERMAIN ST STE 101
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56301-3511
Mailing Address - Country:US
Mailing Address - Phone:320-252-2454
Mailing Address - Fax:
Practice Address - Street 1:816 W SAINT GERMAIN ST STE 101
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56301-3511
Practice Address - Country:US
Practice Address - Phone:320-252-2454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-10
Last Update Date:2019-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN131111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice