Individual provider · Type 1 NPI
Ryan Newell Bullen, DMD, DHSC
Orthodontics and Dentofacial Orthopedics Dentistry · Lake Havasu City, AZ
Practice location
1845 Mcculloch Blvd N Ste A1
Lake Havasu City, AZ 86403-5722
Mailing address
335 W Bello Vista Plz
Kingman, AZ 86409-2975
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 8693 (AZ) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
Another provider at this address
About NPI 1457786741
Ryan Newell Bullen, DMD, DHSC's National Provider Identifier is 1457786741, issued on Sep 5, 2013. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Lake Havasu City, AZ. The record was last updated on Sep 5, 2013.