Individual provider · Type 1 NPI

Russell Bullen, DMD

Dentist · Pueblo, CO

NPI number 1639512015 Active

Practice location

1221 S Pueblo Blvd
Pueblo, CO 81005-1507

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X00203038 (CO)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Dentist Primary 122300000X00203038 (CO)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1639512015

Russell Bullen, DMD's National Provider Identifier is 1639512015, issued on Apr 16, 2013. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Pueblo, CO. The record was last updated on Dec 3, 2019.