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Deactivated NPI 1316952021 Deactivated / Inactive NPI Male Practitioner

Dr. David Wilson Tullis , DDS

Dentist - General Practice • Temple, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Tullis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 30, 2006
NPI Deactivation Date November 13, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. David Tullis, DDS was a registered Dentist - General Practice practicing in Temple, TX. Throughout an active medical career spanning 19 years, Dr. Tullis provided care at the practice location at 1120 S 31ST ST until profile deactivation on 2025-11-13.

Practice Location & Contact Primary Location

Practice Address

1120 S 31st St

Temple, TX 765045215

Telephone 2547735156
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Temple, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
48 Specialists

Practicing in Temple, TX (10570 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 4518

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 13, 2025

Record deactivated on November 13, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1120 S 31ST ST, TEMPLE, TX 765045215 (Tel: 2547735156)

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Updated Business Mailing Address July 08, 2007

Registered at 1120 S 31ST ST, TEMPLE, TX 765045215 (Tel: 2547735156)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DAVID TULLIS, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #4518 in TX)

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Initial NPI Registration & Enumeration July 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316952021
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 30, 2006
Last Update: July 08, 2007
Deactivation Date: November 13, 2025

Mailing Address

1120 S 31st St

Temple, TX 765045215

Phone: 2547735156

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.