IndividualActive
Ryan Bullen, DMD, DHSC
NPI 1457786741 · Orthodontics and Dentofacial Orthopedics Dentistry · Lake Havasu City, AZ
Provider details
- NPI number
- 1457786741
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DMD, DHSC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 8693 (AZ)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
1845 Mcculloch Blvd N Ste A1
Lake Havasu City, AZ 86403-5722
Phone: (928) 855-7700
Street-level locationGet directions
Mailing address
335 W Bello Vista Plz
Kingman, AZ 86409-2975
Registry dates
- Enumerated
- 2013-09-05
- Last updated
- 2013-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.