Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARK FREDERICK PULTMAN, D.D.S.

Active

DR. MARK FREDERICK PULTMAN, D.D.S. is a General Dentistry healthcare provider located in BRIDGETON, Missouri. NPI 1053352039 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · BRIDGETON, MO

Registration Details

NPI Number: 1053352039
Provider Type: Individual
Gender: Male
NPI Issued: Jun 9, 2006 (20.166503156523 yrs)
Last Updated: Jul 8, 2007
License: 11328 (MO)

Practice Information

Address: 12758 BOENKER LN

BRIDGETON, MO, 630442436
Browse MO providers · Browse ZIP 63044
Phone: 3147393300
Fax: 3147390005
Primary Specialty: General Dentistry
1223G0001X

Other General Dentistry Providers in BRIDGETON, MO

Name	Credential	NPI
DR. CHRISTOPHER F DOWLING	—	1124015375
DR. ARONDA R JONES	DDS	1780675132
DR. DEREK VADNAL	DMD	1427074020
DR. THEODORE ANTHONY RECHTIN III	D.D.S.	1871607994
DR. THOMAS MICHAEL GOTSIS	DDS	1871696203
DR. WILLIAM GORDON DEWERT	D.M.D.	1083759518

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.