IndividualActive
Elizabeth Pullockaran
NPI 1356913412 · General Practice Dentistry · Poplar Bluff, MO
Elizabeth Pullockaran is a General Practice Dentistry provider in Poplar Bluff, MO (NPI 1356913412).
Provider details
- NPI number
- 1356913412
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 22DI02843600 (NJ)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
1500 N Westwood Blvd
Poplar Bluff, MO 63901-3318
Phone: (573) 686-4151
Street-level locationGet directions
Mailing address
1500 N Westwood Blvd
Poplar Bluff, MO 63901-3318
Registry dates
- Enumerated
- 2021-07-16
- Last updated
- 2025-06-01
- Certified
- 2025-06-01
Frequently asked questions
- What is Elizabeth Pullockaran's NPI number?
- Elizabeth Pullockaran's National Provider Identifier (NPI) is 1356913412, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elizabeth Pullockaran's specialty?
- Elizabeth Pullockaran is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Elizabeth Pullockaran located?
- Elizabeth Pullockaran's practice location on file with NPPES is 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318.
- What is Elizabeth Pullockaran's phone number?
- The practice phone number listed in the NPPES registry for Elizabeth Pullockaran is (573) 686-4151.
- Is Elizabeth Pullockaran's NPI active?
- Yes — Elizabeth Pullockaran's NPI (1356913412) is active in the NPPES registry as of the last update on 2025-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.