Individual provider · Type 1 NPI

Jaime NMN Bulkacz, DDS PHD

Periodontics · Tarzana, CA

NPI number 1831165828 Active

Practice location

18740 Ventura Blvd, Suite 306
Tarzana, CA 91356

Fax (818) 609-8644

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X32278 (CA)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1831165828

Jaime NMN Bulkacz, DDS PHD's National Provider Identifier is 1831165828, issued on Feb 28, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Tarzana, CA. The record was last updated on Jul 13, 2026.