Marlo Bulza, DMD

General Practice Dentistry · Lake Oswego, OR

Individual Active NPI

NPI number 1295404986

Practice location

16679 Boones Ferry Rd Ste 215
Lake Oswego, OR 97035-4368
Phone
(503) 636-7601
Fax
(503) 636-3749

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NPI record

NPI
1295404986
Entity type
Individual (Type 1)
Enumeration date
September 7, 2021
Last updated
September 7, 2021
Certified
September 7, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D11528 OR

Mailing address

836 S Curry St
Portland, OR 97239-4753
Phone
(971) 404-5422

About Dr. Bulza

Marlo Bulza, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 16679 Boones Ferry Rd Ste 215, Lake Oswego, OR 97035-4368. The NPI number 1295404986 was assigned on September 7, 2021 and the record was last updated on September 7, 2021.

Dr. Bulza lists a license in the registry: #D11528 (OR) 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 Marlo Bulza, DMD?

The NPI number is 1295404986.

What is the phone number of Dr. Bulza?

The phone number listed for the practice location is (503) 636-7601.

Where is Dr. Bulza located?

16679 Boones Ferry Rd Ste 215, Lake Oswego, OR 97035-4368.

What is the taxonomy code for Dr. Bulza?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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