Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mark Frederick Pultman, DDS

Individual provider General Practice Dentistry · NPI 1053352039

Dr. Mark Frederick Pultman, DDS is a General Practice Dentistry in Bridgeton, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

12758 Boenker Ln
Bridgeton, MO 63044-2436
Phone: (314) 739-3300
Fax: (314) 739-0005
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 11328 (MO)

Record details

NPI number1053352039
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 9, 2006
Last updated in NPPESJuly 13, 2026
Mailing address12758 Boenker Ln, Bridgeton, MO 63044-2436

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