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

Dr. Russell Bullen, DMD

Individual provider General Practice Dentistry · NPI 1639512015

Dr. Russell Bullen, DMD is a General Practice Dentistry in Pueblo, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2013
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1221 S Pueblo Blvd
Pueblo, CO 81005-1507
Phone: (801) 427-6715
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 00203038 (CO)
General Practice Dentistry Taxonomy 1223G0001X · Licence 00203038 (CO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1639512015
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedApril 16, 2013
Last updated in NPPESDecember 3, 2019

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