MEDICARE: BRADLEY JON PULFER D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	12010676A	IN

General Provider Information

NPI Number	:	1851571301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRADLEY JON PULFER D.D.S.

Provider Business Mailing Address
First Line	:	1405 MEDICAL PARK DR
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46825-5831
Country	:	US
Telephone Number	:	260-482-4483
Fax Number	:	260-471-9889

Provider Business Practice Location Address
First Line	:	1405 MEDICAL PARK DR
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46825-5831
Country	:	US
Telephone Number	:	260-482-4483
Fax Number	:	260-471-9889

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2007
Last Update Date	:	07/08/2008

Similar Medicare Providers

1467549600 — GARY R. PULFER DDS, PC
Practice Location Address:

1405 MEDICAL PARK DR
FORT WAYNE, IN
46825-5831

Practice Phone: 260-482-4483
Practice Fax: 260-471-9889

1205104734 — LESLIE WINSTON PAYNE OTR/L
Practice Location Address:

11541 DEAL RD
NORTH FORT MYERS, FL
33917-5831

Practice Phone: 239-543-1114
Practice Fax:

1710374483 — SEAN MATTHEW KIRKPATRICK DC
Practice Location Address:

2642 NEWTON AVE
FORT MYERS, FL
33901-5831

Practice Phone: 239-334-7558
Practice Fax: 239-334-7558

1174203459 — CENNA HOME HEALTH SERVICES INC
Practice Location Address:

6601 CUCULU DR
FORT WORTH, TX
76133-5831

Practice Phone: 240-554-7672
Practice Fax: 240-554-7672

1043170723 — LAUREN ELIZABETH CARPENTER
Practice Location Address:

1910 SAINT JOE CENTER RD STE 23
FORT WAYNE, IN
46825-5000

Practice Phone: 260-443-5883
Practice Fax:

1568326866 — NATHAN THOMAS
Practice Location Address:

6131 N CLINTON ST
FORT WAYNE, IN
46825-4905

Practice Phone: 260-459-6040
Practice Fax:

Directions to “ BRADLEY JON PULFER D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.