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

DR. JONATHAN BULTEMA, D.D.S.

Active Sole Proprietor

General Dentistry · HORACE, ND

Registration Details

NPI Number
1669704300
Provider Type
Individual
Gender
Male
NPI Issued
Feb 5, 2010 (16.247211036867 yrs)
Last Updated
Feb 7, 2017
Licenses
2046 (ND)
D1036 (SD)
13339 (MN)
Sole Proprietor
Yes

Practice Information

Address
594 MAIN ST N
HORACE, ND, 580474640
Browse ND providers · Browse ZIP 58047
Phone
7015526001
Fax
7017818056
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
Dentist
Additional Specialty
Dentist
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.