# BRAD PULFER D.D.S., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326399130
- **Authorized official:** DR. BRAD JON PULFER D.D.S. (PRESIDENT)
- **Authorized official phone:** (260) 471-1695

## Contact information

- **Practice address:** 1405 MEDICAL PARK DR, FORT WAYNE, IN 46825-5878
- **Practice address phone:** (260) 471-1695
- **Mailing address:** 1405 MEDICAL PARK DR, FORT WAYNE, IN 46825-5878
- **Mailing address phone:** (260) 471-1695

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 12010676A | IN | Yes |

## Other

- **Enumeration date:** 09/20/2012
- **Last updated:** 09/20/2012