NPI 1184004970

Jonathan Bullen DDS

Organisation General Practice Dentistry Greencastle, IN

Practice location

Address: 403 N Indiana St, Greencastle, IN 46135-1020
Phone: (765) 653-9300
Fax: (765) 653-6704

Authorised official

Name: Jonathan Hugh Bullen
Title: DDS
Phone: (765) 653-9300

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 12009005 (IN)

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Registry record

NPI: 1184004970
Entity type: Organization
NPI issued: 5 Jun 2015
Record last updated: 5 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.