Adrian Bertulfo

Dentist · Prosper, TX

Individual Active NPI

NPI number 1104434695

Practice location

900 S Preston Rd
Prosper, TX 75078-5143
Phone
(469) 459-0403

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NPI record

NPI
1104434695
Entity type
Individual (Type 1)
Enumeration date
July 21, 2020
Last updated
July 14, 2022
Certified
July 14, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 36338 TX
General Practice Dentistry 1223G0001X 36338 TX

Mailing address

417 Adventurous Shield Dr
Lewisville, TX 75056-5409
Phone
(214) 425-8576

Other practice locations (1)

  • 1739 N Central Expy Ste 100, McKinney, TX 75070-3141 · (972) 540-9191

About Adrian Bertulfo

Adrian Bertulfo is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 900 S Preston Rd, Prosper, TX 75078-5143. The NPI number 1104434695 was assigned on July 21, 2020 and the record was last updated on July 14, 2022.

Adrian Bertulfo lists 2 licenses in the registry: #36338 (TX) for Dentist; #36338 (TX) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Adrian Bertulfo?

The NPI number is 1104434695.

What is the phone number of Adrian Bertulfo?

The phone number listed for the practice location is (469) 459-0403.

Where is Adrian Bertulfo located?

900 S Preston Rd, Prosper, TX 75078-5143.

What is the taxonomy code for Adrian Bertulfo?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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