Elizabeth Pullockaran
General Practice Dentistry · Poplar Bluff, MO
Practice location
1500 N Westwood BlvdPoplar Bluff, MO 63901-3318
- Phone
- (573) 686-4151
NPI record
- NPI
- 1356913412
- Entity type
- Individual (Type 1)
- Enumeration date
- July 16, 2021
- Last updated
- June 1, 2025
- Certified
- June 1, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
22DI02843600 | NJ |
About Elizabeth Pullockaran
Elizabeth Pullockaran is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318. The NPI number 1356913412 was assigned on July 16, 2021 and the record was last updated on June 1, 2025.
Elizabeth Pullockaran lists a license in the registry: #22DI02843600 (NJ) 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 Elizabeth Pullockaran?
The NPI number is 1356913412.
What is the phone number of Elizabeth Pullockaran?
The phone number listed for the practice location is (573) 686-4151.
Where is Elizabeth Pullockaran located?
1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318.
What is the taxonomy code for Elizabeth Pullockaran?
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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