| Dr Jonathan Bultema, DDS | |
|
594 Main St N, Horace, ND 58047-4640 | |
| (701) 552-6001 | |
| (701) 781-8056 |
| Full Name | Dr Jonathan Bultema |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 594 Main St N, Horace, North Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669704300 | NPI | - | NPPES |
| 1451030 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2046 (North Dakota) | Primary |
| 122300000X | Dentist | D1036 (South Dakota) | Secondary |
| 122300000X | Dentist | 13339 (Minnesota) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan Bultema, DDS 594 Main St N, Horace, ND 58047-4640 Ph: (701) 552-6001 | Dr Jonathan Bultema, DDS 594 Main St N, Horace, ND 58047-4640 Ph: (701) 552-6001 |
Mary Cremers, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 594 Main St N, Horace, ND 58047 Phone: 701-552-6001 | |
Jennah Calverly, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 594 Main St N, Horace, ND 58047 Phone: 701-552-6001 |