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Dr. Mark Frederick Pultman, DDS
General Practice Dentistry in Bridgeton, Missouri
NPI 1053352039

Mark Frederick Pultman is a General Practice Dentistry based in Bridgeton, MO and is specialized in General Practice. Mark Frederick Pultman practices in Bridgeton, MO and has the professional credentials of DDS. The NPI Number for Mark Frederick Pultman is 1053352039 and holds a License No. 11328 (Missouri).

The current practice location address for Mark Frederick Pultman is 12758 Boenker Ln, Bridgeton, MO and can be reached out via phone at 314-739-3300 and via fax at 314-739-0005.

Location: 12758 Boenker Ln, Bridgeton, MO, 63044-2436
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053352039
Provider Name
Mark Frederick Pultman
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
12758 Boenker Ln, Bridgeton, MO, 63044-2436
Phone Number
314-739-3300
Fax Number
314-739-0005
Provider Enumeration Date
06/09/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
12758 Boenker Ln
City
Bridgeton
State
Missouri
Zip
63044-2436
Phone Number
314-739-3300
Fax Number
314-739-0005
person
Provider Business Mailing Address Details
Address
12758 Boenker Ln
City
Bridgeton
State
Missouri
Zip
63044-2436
Phone Number
314-739-3300
Fax Number
314-739-0005
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
11328 (Missouri)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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