Bullen, Russell

Bullen, Russell is an sole proprietor health care provider with primary practice located at 1221 S Pueblo Blvd , Pueblo CO 81005-1507. He recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Bullen, Russell can be contacted via phone (801) 427-6715.

Contact Information

Primary practice address
1221 S Pueblo Blvd Pueblo CO 81005-1507
Phone: (801) 427-6715
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 00203038 Colorado
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Dentist 122300000X 00203038 Colorado

Profile Details

NPI number 1639512015
LBN Legal business name Bullen, Russell
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2013
Last updated Dec 3rd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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