Healthcare Provider Details
I. General information
NPI: 1922119635
Provider Name (Legal Business Name): DAN C PULLEN DDS PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/31/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
760 US HIGHWAY 206 STE 2
HILLSBOROUGH NJ
08844-1506
US
IV. Provider business mailing address
760 US HIGHWAY 206 STE 2
HILLSBOROUGH NJ
08844-1506
US
V. Phone/Fax
- Phone: 908-359-6521
- Fax: 908-359-4557
- Phone: 908-359-6521
- Fax: 908-359-4557
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | |
| License Number State | NJ |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 124Q00000X |
| Taxonomy | Dental Hygienist |
| License Number | |
| License Number State | NJ |
VIII. Authorized Official
Name: DR.
DAN
C
PULLEN
Title or Position: TREASURER
Credential: DDS
Phone: 908-359-6521