Carl Bruce Bullen in Kingman - Orthodontics And Dentofacial Orthopedics
Carl Bruce Bullen - NPI 1295794113
Carl Bruce Bullen is a Orthodontics And Dentofacial Orthopedics in Kingman, Arizona. Carl Bruce Bullen practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Carl Bruce Bullen is 1295794113. The last update date is 2007-07-08.
Carl Bruce Bullen's current location address is 1143 Riata Valley Rd, Kingman, Arizona. You can contact this provider via phone number 9287578700. The mailing address for Carl Bruce Bullen is 1143 Riata Valley Rd, Kingman, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carl Bruce Bullen |
|---|---|
| Address | 1143 Riata Valley Rd, Kingman, Arizona |
| Phone Number | 9287578700 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1295794113 |
|---|---|
| Provider Enumeration Date | 2006-03-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1143 Riata Valley Rd |
|---|---|
| City | Kingman |
| State | Arizona (AZ) |
| Post Code | 864092978 |
| Phone Number | 9287578700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 3921 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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What is the unique identification code assigned to Carl Bruce Bullen by the Centers for Medicare & Medicaid Services?
The Carl Bruce Bullen has been issued the NPI (National Provider Identifier) 1295794113. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Carl Bruce Bullen is geographically located?
The Carl Bruce Bullen is physically situated at the following location: 1143 Riata Valley Rd, Kingman, AZ, 864092978.
What is Carl Bruce Bullen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Carl Bruce Bullen's area of specialization is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this field of practice is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1295794113 to Carl Bruce Bullen?
The Centers for Medicare & Medicaid Services originally issued the 1295794113 to Carl Bruce Bullen on 2006-03-20.
When was the information regarding Carl Bruce Bullen most recently updated?
The details pertaining to the Carl Bruce Bullen, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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