Individual
DR. RYAN MICHAEL PULFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
3779 BAXTER LANE, BOZEMAN, MT 59718
(406) 551-9535
(406) 551-9536
Mailing address
3779 BAXTER LANE, BOZEMAN, MT 59718
(406) 551-9535
(406) 551-9536
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
12011154A
IN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DEN-DEN-LIC-4262
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12011154A
STATE LICENSE
IN
01
—
DEN-DEN-LIC-4262
DENTAL LICENSE
MT
Enumeration date
10/15/2008
Last updated
12/26/2014
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