Individual
DR. NATHAN JOHN PULSIPHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1300 N OAKLAND AVE STE B, BOLIVAR, MO 65613-3008
(417) 326-6061
Mailing address
1300 N OAKLAND AVE STE B, BOLIVAR, MO 65613-3008
(417) 326-6061
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2021026772
MO
1223G0001X
General Practice Dentistry
T-7346
OK
Other
Enumeration date
07/02/2020
Last updated
10/08/2021
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