Russell Bullen, DMD
NPI 1639512015 · on the registry since 2013 · sole proprietor
Practice
- Address
- 1221 S Pueblo Blvd
Pueblo, CO 81005 - Phone
- (801) 427-6715
- Organisation at this address
- Smile Two, Prof. Llc
Smile Four Professionals Llc
South Pueblo Dental Partners LlpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Dentist
122300000X
- Also registered as
- General Practice Dentistry
Student in an Organized Health Care Education/Training Program - Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-12-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado