| Jonathan Bullen Dds | |
|
403 N Indiana St Greencastle IN 46135-1020 | |
| (765) 653-9300 | |
| (765) 653-6704 |
| Full Name | Jonathan Bullen Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 403 N Indiana St, Greencastle, Indiana |
| Authorized Official Name and Position | Jonathan Hugh Bullen (DDS) |
| Authorized Official Contact | 7656539300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Bullen Dds 403 N Indiana St Greencastle IN 46135-1020 Ph: (765) 653-9300 | Jonathan Bullen Dds 403 N Indiana St Greencastle IN 46135-1020 Ph: (765) 653-9300 |
| NPI Number | 1184004970 |
|---|---|
| Provider Enumeration Date | 06/05/2015 |
| Last Update Date | 06/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184004970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12009005 (Indiana) | Primary |
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