SearchColoradoDentist

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 Llp
Inferred 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