Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RYAN NEWELL BULLEN, DMD, DHSC
Active Sole ProprietorDR. RYAN NEWELL BULLEN, DMD, DHSC is a Orthodontics healthcare provider located in LAKE HAVASU CITY, Arizona. NPI 1457786741 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · LAKE HAVASU CITY, AZ
Registration Details
- NPI Number
- 1457786741
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 5, 2013 (12.961565842527 yrs)
- Last Updated
- Sep 5, 2013
- License
-
8693 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1845 MCCULLOCH BLVD N STE A1LAKE HAVASU CITY, AZ, 864035722Browse AZ providers · Browse ZIP 86403
- Phone
- 9288557700
- Primary Specialty
-
Orthodontics
1223X0400X
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.