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Dr. Russell Bullen, DMD
Dentist in Pueblo, Colorado
NPI 1639512015

Russell Bullen is a Dentist based in Pueblo, CO. Russell Bullen practices in Pueblo, CO and has the professional credentials of DMD. The NPI Number for Russell Bullen is 1639512015 and holds a License No. 00203038 (Colorado).

The current practice location address for Russell Bullen is 1221 S Pueblo Blvd, Pueblo, CO and can be reached out via phone at 801-427-6715.

Location: 1221 S Pueblo Blvd, Pueblo, CO, 81005-1507
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639512015
Provider Name
Russell Bullen
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1221 S Pueblo Blvd, Pueblo, CO, 81005-1507
Phone Number
801-427-6715
Fax Number
Provider Enumeration Date
04/16/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1221 S Pueblo Blvd
City
Pueblo
State
Colorado
Zip
81005-1507
Phone Number
801-427-6715
Fax Number
person
Provider Business Mailing Address Details
Address
1221 S Pueblo Blvd
City
Pueblo
State
Colorado
Zip
81005-1507
Phone Number
801-427-6715
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
00203038 (Colorado)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
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.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
00203038 (Colorado)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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