Provider Demographics
NPI:1922119635
Name:DAN C PULLEN DDS PA
Entity Type:Organization
Organization Name:DAN C PULLEN DDS PA
Other - Org Name:DRS PULLEN PETERSON BROWER & WEISS
Other - Org Type:Other Name
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:PULLEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:908-359-6521
Mailing Address - Street 1:760 US HIGHWAY 206
Mailing Address - Street 2:STE 2
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-1506
Mailing Address - Country:US
Mailing Address - Phone:908-359-6521
Mailing Address - Fax:908-359-4557
Practice Address - Street 1:760 US HIGHWAY 206
Practice Address - Street 2:STE 2
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-1506
Practice Address - Country:US
Practice Address - Phone:908-359-6521
Practice Address - Fax:908-359-4557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ122300000X, 124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered122300000XDental ProvidersDentistGroup - Multi-Specialty
Not Answered124Q00000XDental ProvidersDental HygienistGroup - Multi-Specialty