Bradley Jon Pulfer in Fort Wayne - Dentist
Bradley Jon Pulfer - NPI 1851571301
Bradley Jon Pulfer is a Dentist in Fort Wayne, Indiana. Bradley Jon Pulfer practices all healthcare services and medical treatments related to Dentist. The NPI Number for Bradley Jon Pulfer is 1851571301. The last update date is 2008-07-08.
Bradley Jon Pulfer's current location address is 1405 Medical Park Dr, Fort Wayne, Indiana. You can contact this provider via phone number 2604824483 and fax number 2604719889. The mailing address for Bradley Jon Pulfer is 1405 Medical Park Dr, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Jon Pulfer |
|---|---|
| Address | 1405 Medical Park Dr, Fort Wayne, Indiana |
| Phone Number | 2604824483 |
| Fax Number | 2604719889 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1851571301 |
|---|---|
| Provider Enumeration Date | 2007-11-13 |
| Last Updated Date | 2008-07-08 |
Provider Mailing Address Detail
| Address | 1405 Medical Park Dr |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468255831 |
| Phone Number | 2604824483 |
| Fax Number | 2604719889 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 12010676A |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Post Comment/ Review Below
What is the Bradley Jon Pulfer's 1851571301?
The Bradley Jon Pulfer's NPI (National Provider Identifier) Number is 1851571301. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Bradley Jon Pulfer is located?
The Bradley Jon Pulfer is situated at the following address: 1405 Medical Park Dr, Fort Wayne, IN, 468255831.
What is the area of specialization for Bradley Jon Pulfer, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Bradley Jon Pulfer is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did the Bradley Jon Pulfer receive its 1851571301 assignment from the Centers for Medicare & Medicaid Services?
The Bradley Jon Pulfer was assigned its 1851571301 by the Centers for Medicare & Medicaid Services on 2007-11-13.
As of what date were the Bradley Jon Pulfer's details last updated?
The information pertaining to the Bradley Jon Pulfer, including its address, specialty, and other details, was most recently updated on 2008-07-08.