Organization
JONATHAN BULLEN DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN HUGH BULLEN (DDS)
(765) 653-9300
Entity
Organization
Contact information
Practice address
403 N INDIANA ST, GREENCASTLE, IN 46135-1020
(765) 653-9300
(765) 653-6704
Mailing address
403 N INDIANA ST, GREENCASTLE, IN 46135-1020
(765) 653-9300
(765) 653-6704
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009005
IN
Other
Enumeration date
06/05/2015
Last updated
06/05/2015
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