What is Mark Pultman's NPI number?

Mark Pultman's National Provider Identifier (NPI) is 1053352039, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Mark Pultman's specialty?

Mark Pultman is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).

Where is Mark Pultman located?

Mark Pultman's practice location on file with NPPES is 12758 Boenker Ln, Bridgeton, MO 63044-2436.

What is Mark Pultman's phone number?

The practice phone number listed in the NPPES registry for Mark Pultman is (314) 739-3300.

Is Mark Pultman's NPI active?

Yes — Mark Pultman's NPI (1053352039) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Mark Pultman, D.D.S.

NPI 1053352039 · General Practice Dentistry · Bridgeton, MO

Mark Pultman, D.D.S. is a General Practice Dentistry provider in Bridgeton, MO (NPI 1053352039).

Provider details

NPI number: 1053352039
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: D.D.S.
Sex: Male
License: 11328 (MO)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense 11328 (MO)
Dental Providers

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
20 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

12758 Boenker Ln

Bridgeton, MO 63044-2436

Phone: (314) 739-3300

Fax: (314) 739-0005

Street-level locationGet directions

More MO providers

Mailing address