Provider Demographics
NPI:1093065179
Name:GUL, GULSUN (DDS,MBA,MPH,MS)
Entity Type:Individual
Prefix:DR
First Name:GULSUN
Middle Name:
Last Name:GUL
Suffix:
Gender:F
Credentials:DDS,MBA,MPH,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 1ST ST., 17TH FLOOR
Mailing Address - Street 2:FORSYTH FACULTY ASSOCIATES AT THE FORSYTH INSTITUTE
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02142-1200
Mailing Address - Country:US
Mailing Address - Phone:617-892-8245
Mailing Address - Fax:
Practice Address - Street 1:245 1ST ST
Practice Address - Street 2:17TH FLOOR
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02142-1200
Practice Address - Country:US
Practice Address - Phone:617-892-8245
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-14
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADF108081223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry