IndividualActive
Adrian Bertulfo
NPI 1104434695 · Dentist · Prosper, TX
Provider details
- NPI number
- 1104434695
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 36338 (TX)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
900 S Preston Rd
Prosper, TX 75078-5143
Phone: (469) 459-0403
Approximate (ZIP-level) locationGet directions
Mailing address
417 Adventurous Shield Dr
Lewisville, TX 75056-5409
Additional practice locations (1)
- 1739 N Central Expy Ste 100Mckinney, TX 75070-3141Phone: (972) 540-9191
Registry dates
- Enumerated
- 2020-07-21
- Last updated
- 2022-07-14
- Certified
- 2022-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.