Individual
DR. JONATHAN HUGH BULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
403 N INDIANA ST, GREENCASTLE, IN 46135-1020
(765) 653-9300
Mailing address
403 N INDIANA ST, GREENCASTLE, IN 46135-1020
(765) 653-9300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009005
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200214410A
—
IN
Enumeration date
04/03/2007
Last updated
11/03/2014
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